ESMEC 2017 — Registration form
Title
Name
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Family name
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Email
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Phone
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Sex
Institution
Your answer
Address
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Country
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Arrival date
Departure date
Number of nights
Accommodation
Accommodation — express a preference
In case you choose "double room at Collegio Internazionale to share with"
Your answer
Registration fee
SCI-ESMEC — Bank: UniCredit - Branch: Urbino Puccinotti - IBAN: IT 50 N 02008 68703 000005068853BIC SWIFT: UNCRITM1Q34
I wish to apply for selection of 6 short oral presentation on July 6th:
I wish to reserve a seat on the coach from the airport of:
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