FASE Advanced Course and Symposium 2017
14-16 September 2017, Milano (Italy)
Registration Form
Deadline for registration: 15 August 2017
Last Name and First Name *
Your answer
Academic title *
Your answer
Scientific discipline/Field of expertise *
Your answer
Current Affiliation/Institution *
Your answer
Address (Street, ZIP code) *
Your answer
Country *
Your answer
Email *
Your answer
Telephone number (+country code)
Your answer
I would like to attend: *
I would like to present at the Symposium *
Required
Registration fee *
(includes coffee breaks, USB key with Course material)
The registration fee needs to be paid in full by bank transfer (details will be announced at the end of April) by 1 August 2017
Thank you very much for your interest! We look forward to seeing you at the FASE Advanced Course and Symposium 2017!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms