REGISTRATION FEE

Registration fee: 450 Euros (students 350 Euros) should be paid by bank transfer within July 30 to:
Banca Popolare di Lecco, Division of the Deutsche Bank, Via IV Novembre,
23829 VARENNA (LC), Italy.

Account opened in favour of “Piero Caldirola International Center”:
IBAN: IT64 M031 0451 8300 0000 0009 500 - SWIFT code: DEUTITM1029
Please, state as motivation of payment:
your full name – Participation “Superstrong 2010”.

All bank expenses are at participants’ charge.
In case it is a problem for you to send your payment through bank transfer, we accept the payment in Varenna at the registration desk, when you register for the conference.
Credit card cannot be accepted for payments of the registration fee.

Upon request, a contribution for covering the registration fee is available by the “SILMI” Programme for a number of selected participants. Evaluation of the requests and confirmation of the contribution will be sent to you within July 26, 2010.

First name: (*)

Last name: (*)

Title: (*)

E-mail: (*)

Phone:

Affilation: (*)

Department: (*)

Address:

ZIP Code:

City: (*)

Country: (*)

Conference Fee: Full       Student Fee

I request the SILMI contribution to cover the fee cost as:
Student       Non-Student

Please, motivate your request:

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ACCOMODATION DETAILS:
For choosing your hotel, please check the “Accomodation list”, where you find the conventioned hotels with prices and conditions.
Please note that we may not be able to reserve the hotel chosen. We will contact you in order to confirm your reservation.
Your credit card data will be needed for guaranteeing your hotel reservation, to be sent after notification of your hotel confirmation.

Do you need hotel reservation? (*)    Yes     No

Hotel Chosen 1st choice: --choose hotel--VILLA CIPRESSI ***EREMO GAUDIO ***HOTEL ROYAL VICTORIA ****ALBERGO MONTECODENO ***ALBERGO DEL SOLE***MEUBLE VITALI

Hotel Chosen 2nd choice: --choose hotel--VILLA CIPRESSI ***EREMO GAUDIO ***HOTEL ROYAL VICTORIA ****ALBERGO MONTECODENO ***ALBERGO DEL SOLE***MEUBLE VITALI

Hotel Chosen 3rd choice: --choose hotel--VILLA CIPRESSI ***EREMO GAUDIO ***HOTEL ROYAL VICTORIA ****ALBERGO MONTECODENO ***ALBERGO DEL SOLE***MEUBLE VITALI

Date of arrival:
Date of departure:

Type of Room:
--choose--single/double for single usedoubletwinother

Please, specify:
Accompanying persons: yes       no

In case you share a room with another participant, please indicate his/her name:




According to italian law n° 675/96 we inform you that all personal data and the further information you will be free to transmit us through this electronic form will be used with the sole aim to create a contact with you according to what is established by the Italian law on privacy (Law 675/96): your data will be therefore stored in our electronic files. This electronic form doesn't represent any kind of subscription to newsletter groups, mailing lists or similar, nor your data will be transmitted or given to others to obtain commercial information, to promote the sale of their goods and/or services and to carry out market researches. In any case, you can always oppose yourself to the treatment of your personal data for aims different from those here indicated and you can always have the possibility to access the data you transmitted to update, change and integrate them by contacting us at telephone number +39-02-2399-3267 or by sending a fax to +39-02-2399-6309.

I have read and I authorize my data treatment.

(*) Mandatory fields