REGISTRATION FORM

(Please save the file with your last name in the title)

Deadline June 15th, 2016. Please send to

Surname

Name

Position

Affiliation

Address

ph.

Fax

email

I wish to apply for a fellowship (PhD students and Post-docs)

(please enclose your CV and a support letter)

(To obtain a fellowship, it is compulsory to present a contribute)

I would like to present

An ORAL contribute

A POSTER contribute

Titleof the communication: ______

______

Payment made to (check details in the webpage)

Société Française de Photobiologie (SFPb) (two-year membership 40 €)

Società Italiana di Fotobiologia: Annual membership 25 €/Junior 15 €

Gruppo Italiano di Fotochimica: Annual membership Regular 45 €/Junior 15 €

Groupe français de photochimie, photophysique et photosciences (GFP2P):

Registration fee includes access to all scientific sessions and the exhibition/poster/meeting rooms, book of abstracts, coffee breaks and welcome reception.

Pre-registration must be accompanied by a payment otherwise it will not be processed. In all other cases, the on-site registration fee will be taken as a basis.

Requests for refunds must be made in writing to the SIFB Treasurer, address as below. There will be a EUR 25 fee for any registration cancellation. NO REFUNDS HONOURED AFTER 15 AUGUST 2016.

Congress registration fees (in Euro)

Payments received
Before 15 July 2016 / Before 15 August 2015 / On-site
Members / € 130 / € 150 / € 155
Students / € 60 / € 60 / € 60
Non members / € 250 / € 250 / € 250
Invited speaker/Chairperson
Fellowship recipient / Waived
Social Dinner / € 30
  1. Registration dues for SIFB members may be paid by Bank transferusing the following bank details

Società Italiana di Fotobiologia - ONLUS

Banca: Cassa di Risparmio del Veneto, Filiale di Padova, via Belzoni

IBAN: IT47 D062 2512 1071 0000 0006 836

BIC: IBSPIT2PXXX

Reason for payment: joint conference 2016 - your surname

Please send also a copy of the bank transfer to and to SIFB treasure Prof. Elena Reddi ().

  1. Registration dues for GIF members may be paid by Bank transfer using the following bank details

Beneficiary name: Gruppo Italiano di Fotochimica

Beneficiary bank: Banca Prossima

IBAN: IT85 N033 5901 6001 0000 0067 181

BIC: BCITITMX

Reason of the payment: joint conference 2016 - your surname

Please send also a copy of the bank transfer to and to GIF treasurer Prof. Serena Silvi ().

  1. Registration dues for Société Française de Photobiologie (SFPb) members may be paid by Bank transfer using the following bank details

Beneficiary name: Société Française de Photobiologie

Beneficiary bank: Credit Lyonnais

IBAN: FR71 3000 2004 9400 0000 5720 G69

BIC: CRLYFRPP

Reason of the payment: joint conference 2016 - your surname

Please send also a copy of the bank transfer to and to SFPb treasurer Christine Verver-Bizet ().