OSSTEM HIOSSEN MEETING - ROME - Congressi Convegni Eventi

To register, please fill in the form. This form is dedicated to non-italian participants. For Italians, please come back and choose the italian form

Name*
Surname*
Mobile phone*
Email*
Please specify if you need special meals
CONGRESS FEE*
- Congress Fee € 597,80 (€ 490,00 +vat)
GALA DINNER
- Gala Dinner € 200,00
EXTRA GALA DINNER
- Extra Gala Dinner € 200,00
Select this option if you'd like to buy extra gala dinners for your +1, +2...
Quantità
If you have a +1 or +2, write here for how many people you'd like to buy the extra dinners
Total
0,00 €
DETAILS FOR PAYMENT AND INVOICE
INVOICE HAS TO BE HEADED TO*
ADDRESS*
Street City and zip code State
VAT Number
Fiscal code (if different from vat number)
Total
0,00 €
KIND OF PAYMENT
- Bank Transfer
- Credit Card or Paypal
Bank Transfer to DOUBLE EM SRL IBAN IT06X0503401437000000001315 BIC/SWIFT BAPPIT21D04 BANCO BPM
Or choose among paypal or credit card

American Express
Discover
MasterCard
Visa
Maestro
Carte di credito supportate: American Express, Discover, MasterCard, Visa, Maestro
Card number Expir. Date Codice sicurezza Owner's name
Processing of Personal Data*
- I agree
- I disagree
In compliance with the GDPR 679/16 "European regulation on the protection of personal data", I hereby authorize the recipient of this document to use and process my personal details for the purpose of receiving e-mails, informational and promotional materials about the next events will be organised.

To reserve your room during the Congress, please download this form and send it filled in every part to: registration@double-em.it

DETAILS FOR PAYMENT AND INVOICE