Registration Form
 

 

Advance: Registration fee deadline May 10th
(Regular: ,00      IFIP Member: ,00      Student: ,00      Additional tickets for social events (partners): ,00)

Late: After May 10th to May 28th
(Regular: ,00      IFIP Member: ,00      Student: ,00      Additional tickets for social events (partners): ,00)

From May 29th, registration will be possible on site only
(Regular: ,00      IFIP Member: ,00      Student: ,00      Additional tickets for social events (partners): ,00)

Current date: May 24, 2017 (Rome Time Zone, GMT +0000)

Current registration: Late
(Regular: ,00     IFIP Member: ,00     Student: ,00     Additional tickets for social events (partners): ,00)


Conference fee comprises attendance to conference sessions, coffee and lunch breaks, proceedings and social events (unless otherwise stated).
For each accepted paper, at least one full registration is necessary.

 

Personal Information

 

Title

First Name

Last Name

 

Affiliation

Address #1

Address #2

 

ZIP/Postal Code

City

Country

 

E-mail

Phone

Fax

 

Speaker

 

In case you will attend the Conference as a Speaker, please click here You are kindly requested to insert your Paper number and title. Thank you.

 

Paper no.

Title

 

 

Required if you are Speaker

Required if you are Speaker

 
 

Pricing Details

 

Type of Registration

Price ()

Proof file


Students: To apply for the reduced student fee you must attach or fax us verification of your full-time graduate or undergraduate student status
(copy of school ID or letter from the dept. head)
FAX: +39 050 2209734

 

Workshops participation

         

Accompanying Person

Price ()

 

Social Events (partners)

Price ()

 

 
 

Dietary Needs and other notes:

 
 

 
 
 

First Name

 

Last Name

 

Accompanying Person #1:

 

 
 
 

First Name

 

Last Name

 

Accompanying Person #2:

 

 
 
 

First Name

 

Last Name

 

Accompanying Person #3:

 

 
 
 

First Name

 

Last Name

 

Accompanying Person #4:

 

 
         

Billing Details

 

Full Name or University/Institute

Fiscal code / VAT ID number

Mailing Address


(if available)

 

City

Country

ZIP/Postal Code

 

Payment

 
 

Form of Payment

 

Total Price ()

 
 

 

 
 

Bank Transfer receipt


For Bank Transfer payment, please attach the relevant receipt.
Beneficiary: GECO EVENTI E FORMAZIONE SNC
Bank: BNL Banca Nazionale del Lavoro
Agenzia 3843 di Pisa
IBAN Code: IT75 N010 0514 0000 0000 0003 000
SWIFT Code: BNLIITRR

Please specify in your Bank Transfer: IFIP 2017 + NAME OF PARTICIPANT/S

     
 

Notes:

 
 

Blue fields are required.
Warning: to use this registration form, your browser must have javascript enabled.
For First Name and Last Name fields, only alphabetic characters and spaces are allowed.
For others text fields are allowed alphabetic and numeric characters, spaces and some special characters, such as:
"\", "/", "|", ".", ",", ":", ";", "", "+", "*", "-"


The Registration will be confirmed by e-mail upon receipt of the relevant payment.


Cancellation policy:

Registration cancellation must be notified in writing by e-mail or fax to GECO Eventi e Formazione.

REFUND POLICY

Cancellation within April 20 - 100% refund (Euro 20 will be considered as operational expenses and deducted from the total amount).

Cancellation within 10 May - 30% refund

Cancellation after 10 May - no refund

 
 
 

PRIVACY POLICY

Information according to Italian Law no. 196 dated 30/06/2003. Your personal data supplied in this occasion will be subject to exclusive computer and manual use by GECO Eventi e Formazione and will not be disclosed to third parties.
I hereby authorize the use of my personal data according to Italian Law no. 196 dated 30/06/2003 on privacy.

 
 
 

 
 
 

For any problem or information please contact:

ifipsec@gecoef.it

P.I.C. Mrs Emanuela Ferro

phone: + 39 050 2201353
fax no. + 39 050 2209734