Registration Form FFP15
It is obligatory to realize this form in order to register in the international Symposium Frontiers of Fundamental Physic. Moreover, to complete the registration, you must send proof of transfer of the fee payment (200 € for regular fee, 250 € regular fee + BANQUET, 150 € for student, 200 € for student + BANQUET, 100 € for accompanying person, 150 € for accompanying person + BANQUET)
Name and surname *
Your answer
Title
University/College/Company *
Your answer
E-mail *
Your answer
County of Residence
Your answer
State/Province
Your answer
City
Your answer
Telephone *
Your answer
Type of register *
If you have registered as author indicates the title of the work, the authors and the area in which you present it
Your answer
If you have registered as an author, indicate the format in which you will make the presentation
Indicate the days you plan to attend the conference *
Required
Indicate which social program acts you plan to attend *
Required
Indicate if you have any food restriction
if you have checked the "other" option,explain which
Your answer
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