N4M - NANOENGINEERING FOR MECHANOBIOLOGY - Congressi Convegni Eventi

Camogli (GE) - Hotel Cenobio dei DogiVia Nicolò Cuneo, 34

event details

ATTENTION! The Hotel Cenobio Dei Dogi, where the conference is taking place, is fully booked.

event details

ATTENTION!

The Hotel Cenobio Dei Dogi, where the conference is taking place, is fully booked.

If you need accomodation please contact ”registration@double-em.it”

For more information:

Nanoengineering for Mechanobiology

when

Domenica 3 Marzo 2024 17:00 5:00PM - Giovedì 7 Marzo 2024 13:00 1:00PM(GMT+00:00)

Location

Camogli (GE) - Hotel Cenobio dei Dogi

Via Nicolò Cuneo, 34

Add to your calendar Add to Google Calendar

Calculate the route

Registration Form

N4M 2024

To register, please fill in the form. ATTENTION: The Hotel Cenobio dei Dogi is fully booked. If you need accomodation, please contact registration@double-em.it

"*" indicates required fields

SURNAME OF THE PERSON WHO WILL ATTEND THE CONFERENCE*

NAME OF THE PERSON WHO WILL ATTEND THE CONFERENCE*

TITLE*

TYPE OF PARTICIPANT*

University/Institution/Company name/Department*

ADDRESS*

Address Town Mobile Phone ZIP CODE COUNTRY

Email*

Special meals: We can guarantee special meals only if confirmed here*

No allergies

Glutenfree

Lactose free

Vegan

Vegetarian

Other allergies

PLEASE SPECIFY ALLERGY TO:

VISA: if you require an invitation letter for VISA application, complete this section. The invitation letter will be e-mailed after receipt of payment of the conference registration fee

Check this box if you need an invitation letter for VISA

Date of birth*

DD dash MM dash YYYY

Place of birth*

Country

Passport Number*

ISSUED ON*

DD dash MM dash YYYY

EXPIRE DATE*

DD dash MM dash YYYY

Please upload your passport*

Max. file size: 64 MB.

NO ACCOMODATION*

NO ACCOMODATION REQUIRED

Hidden

KIND OF ACCOMMODATION REQUIRED*

SINGLE ROOM

SHARED ROOM

NO ACCOMMODATION REQUIRED

Hidden

Name of the other participant (if you have) for the shared room

Name Surname

REGULAR LIGHT CONGRESS FEE*

No accommodation included

STUDENT FEE € 350,00

SENIOR FEE € 450,00

Hidden

REGULAR CONGRESS FEE in single room*

STANDARD FARE € 1.000,00

FULL FARE € 1.150,00

Hidden

REGULAR CONGRESS FEE in shared room*

STANDARD FARE € 700,00

FULL FARE € 870,00

PROMOTIONAL CODE

DISCOUNT*

Price:

INVOICE HAS TO BE ADDRESSED TO:*

University/Institution/Company name/Department/ Name - Surname Billing address Town ZIP CODE COUNTRY

CODICE SDI*

CODICE PER FATTURA ELETTRONICA OBBLIGATORIO PER ENTI E AZIENDE ITALIANE. SE LA FATTURA VA INTESTATA A PERSONA FISICA, INSERIRE N/A

VAT NUMBER*

Mandatory for invoices addressed to Institutions/Companies that have VAT. In other cases, please insert N/A

FISCAL CODE*

Mandatory for invoices addressed to ITALIAN PARTICIPANTS or Institutions/Companies IF DIFFERENT FROM VAT. In other cases, plelase insert N/A

Total

KIND OF PAYMENT*

BANK TRANSFER

CREDIT CARD or PAYPAL

Bank Transfer to DOUBLE EM SRL IBAN IT06X0503401437000000001315 BIC/SWIFT BAPPIT21D04 BANCO BPM

Choose among paypal or credit card

American Express

MasterCard

Visa

Maestro

Supported Credit Cards: American Express, MasterCard, Visa, Maestro

Card number Expir. Date CCV Owner's name

Processing of Personal Data*

I agree

I do not agree

event details

event details

when

Location

Calculate the route

Registration Form

N4M 2024

IL TEAM DOUBLE EM

GESTIONE EVENTI

INFORMAZIONI