MaX meeting - General Assembly - IAB meeting 10-11/01/2017
This is the registration form for participants attending the MaX meeting, General Assembly and IAB meeting in Trieste (IT) on January 10-11, 2017.
The meeting will take place in SISSA (International School for Advanced Studies), Via Bonomea, 265, 34136 Trieste.
For any information please contact Luisa Neri luisa.neri@max-centre.eu
First Name *
Your answer
Family Name *
Your answer
Title
Institution *
Your answer
Address
Please, indicate your street address, City, zip code
Your answer
Country
Your answer
e-mail *
Your answer
Mobile Phone
Your mobile phone number will be used only in case of need during the meeting.
Your answer
Phone number
Your answer
Is your Institution a partner of MaX? *
Will you attend the Welcome Dinner Reception (January 9, 2017)? *
Details on the Welcome Dinner Reception will be given soon.
Will you attend the Social Dinner (January 10, 2017)? *
Details on the Social Dinner will be given soon.
Special dietary requirements
Your answer
Arrival date
MM
/
DD
Departure date
MM
/
DD
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