ICP2DC-2024 - Registration Form

ICP2DC-2024

Registration Form

Personal data

First name:

Last name:

Email:

Affiliation/Istitution/Company:

Country:

Full address:

Arrival date:

Departure date:

Event's T-shirt

Size for event's T-shirt:

Dietary

Dietary choice:

Payment data

Registration type:

Payment method:

Proof of payment, please upload an image:

Privacy

By clicking on Registration button I read and accept all the conditions. According to our privacy policy and the law N° 163/03 of the Italian Republic, your personal data will be used by the Organisers and by ER GLOBAL COMMUNICATION SRL exclusively for matters concerning the event.