PLMCN-2022 Registration Form

1General information: First name: Last name: Email: Affiliation/Istitution/Company: Country: Address: Zip Code: Job title:

Arrival date:

Departure date:

2Hotel reservation: Dietary requirements: Accompanying person:

3Payment data: Registration type: Payment method: Proof of payment, please upload an image:

4Privacy

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.