Event organised by:

Dipartimento di Chimica
dell'Università di Bologna
http://www.ciam.unibo.it/crystal_eng

http://www.polycrystalline.it

Registration form

* Mandatory fields

First name*

Last name *

Company*

Country*

E-mail:*

Company VAT number*

Payment method:* Paypal credit card Bank transfer None (only for staff)

Workshop registration 20% taxes included.:

Standard registration - 600€ Academic registration - 400€ Staff registration

* important information

I accept the concerning the handling of personal data in compliance with Article 13 of D.Lgs 30 june 2003 n° 196 (Safeguarding the privacy of individuals and other parties with reference to the handling of personal data).

In order to foster the partecipation of companies to the workshop "The Growing World of Crystal Forms" , the second participant of every company registered to the conference will be admitted paying only half of the price.

Bank transfer details:
Banca Popolare di Milano - IBAN: IT 41 Y 05584 37070 000000010846 - SWIFT: BPMIITM1217 - OBJECT: PCL WORKSHOP 2010

Send a copy of payment receipt, registration form and company information to complete the registration and to receive the invoice - Fax. +39 051 851847

Paypal details:
To pay with paypal it the paypal account is not necessary. You can just click on "Continue" on the left column of the page.

The registration will be closed on August 31..

Sponsored by:

 

Poly Crystal Line srl - Via F.S. Fabri, 127/1 – 40059 Medicina - Bologna (Italy)
tel 051.6970701 - fax 051.851847 - info@polycrystalline.it - P.I. 02600021204
Webdesign @IDEAEDI