Icheap-10 Registration Form

ICHEAP-10,Florence May 8-11,2011REGISTRATION FORM

To attend ICheaP-10 conference a registration fee is required. For publishing the paper and including it into the final program the registration fee is due before March 14
The fee is valid for attending both ICheaP-10 and PRES'11 Conference (only attendance to sessions, not publication of papers in both conferences)
Registration fee includes:attendance to the scientific sessions (ICheaP-10 & PRES'11); conference facilities; proceedings (hard copy + CD-Rom) ; welcome cocktail, 5 coffee breaks,3 lunches, 1 dinner (full fee only)

PARTICIPANT'S DATA

FIRST NAME ______SURNAME______

EMAIL_______please note that all correspondence is by email
ONCE RECEIVED MY PAYMENT, PLEASE INVOICE TO

ORGANIZATION ______DEPARTMENT______

FULL POSTAL ADDRESS______

COUNTRY______FAX______

FOR EUPARTICIPANTS ONLY:COMPULSORY DATA FOR INVOICING

P.IVA (VAT)_______CF______
This form is accepted onlyif P.IVA (VAT number) and Fiscal Code (C.F.) of the Organization (not personal)are provided.Please insert your personal C.F. only if you are going to pay your fee by yourself, without any reimbursement from your Organization.

I REGISTER TO ICHEAP10 PAYING THE FEE(tick as appropriate)
__ EARLY FULL€ 600 - my payment is madebefore* March 14(dinner is included)

__ STUDENT & PhD€ 480 - my payment is made before* March 14(dinner is NOT included)

__ REGULAR FEE € 700 - my payment is made after* March 14 (dinner is included) (not possible for speakers)

IN ADDITION TO MY FEE, I BUY

Nr. __ dinner on Tuesday, May 10, at € 110each- for students and accompanying persons

Nr. __ lunch/es at € 35 each - only for accompanying person/s

TOTAL EURO______

I AM SETTLING MY PAYMENT BY THE FOLLOWING WAY(tick as appropriate)

CREDIT CARD NR. (16 digits): ______

VISA or MASTERCARD EXPIRY DATE: __ / __ CVV(security code, 3 digits): _ _ _
HOLDER and SIGNATURE:______

BANK TRANSFER to: toAIDIC Servizi S.r.l.
(bank name and agency number)BANCA INTESA, Ag. 59 (address) Via CELORIA 2, I-20133 Milano, Italy
(bank coordinates)IBAN CODE: IT72M0306901749000011154138 / SWIFT CODE: BCI T I T 33124
Please make sure that your bank transfer charges are not deducted from the total payment required.

! Please indicate in the transfer form the full name of the participant !

CHEQUE made payable to "AIDIC Servizi S.r.l."Please send to address of ICheaP-10 Secretariat

*IMPORTANT NOTES*
The submission of this form confirms the participation and becomes a valid registration when the payment has been received.
* For forms received after March 14, 2011 the fee due is of Euro 700. * The fee is valid for the participation of one author and the presentation of one paper.
Cancellations before May 1, 2010 will be charged by 20% costs. Beyond such date the fee will not be refunded. No refund is due in case a paper has been already included into the proceedings for publication, i.e after April 1.Only written cancellations will be accepted (letter or fax, not e-mail).
Substitutions will be accepted at any time, provided they are notified to the Secretariat.

AIDIC Servizi Via Giuseppe Colombo 81/A - 20133 Milano, Italy - P.IVA e C.F. 11667680158