First Name *

Last Name *

Company *

Role

Address *

City *

Zip Code *

Country *

VAT Number *
Administrative national code of your company – If you have different codes or you don’t have one please type ”none” in this filed and specify all the details for invoicing in the field “Note”.

Phone *

Email Address *

Registration options

Please choose your favourite solutions:

   Full Registration   

Allows the unlimited access to the lecture room and to the exhibitors area during the three days of the course (7-8-9 June 2016).

   Field Trip   

Allows the participation to the Field Trip that will be held on June 10, 2016 to the Poggio Baldi Landslide (Corniolo – FC).

Discount

“Please indicate the name of your collegue/s attending the course” *

"Please indicate the affiliated organization" *

Optional Notes

Calculate

TOTAL excl. Tax (in euro €)

TOTAL incl. Tax (in euro €)

*   I hereby authorize the use of my personal details solely for circulation within the company in relation to the Italian Legislative Decree n° 196/2003

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Please consider that the registration process is not complete until the payment is confirmed by our office.