REGISTRATION FORM - European PhD Network "Insect Science"
NAME *
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SURNAME *
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*
INSTITUTION *
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ADDRESS *
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EMAIL *
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MOBILE PHONE
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CATEGORY *
Dietary restriction *
Required
REGISTRATION
Registration fee only
The congress fee includes: admission to scientific programme, congress material, coffee breaks and lunch.
PAYMENT
OPTION 1: BANK DRAFT
Payment: Event Planet srl
Bank: BANCO DI NAPOLI S.p.a.
Branch 02020
IBAN: IT88 P010 1003 5151 0000 0009 082
Swift Code: IBSPITNA

IMPORTANT: you must enter the full name of the attendee + "PhD meeting FI" in the payment description to validate the registration
OPTION 2: CREDIT CARD
Card Number
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Expiry date
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COMMENTS
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