italian proteomics association - vocalhouse.it · ¾workshop food and nutrition (hpp-fan) (free for...
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ITALIAN PROTEOMICS ASSOCIATION
13° NATIONAL CONGRESS “Feeding the Proteome”
Como, 5 – 7 September 2018
REGISTRATION FORM
Please send to [email protected] and [email protected]
Personal details
Last name……………………………………………………….Name……………………………………………………………………….
Affiliation …………………………………………………………………………………………………………………………………….
Address…………………………………………………………..................Postal code……………………………City……………………………
Phone………………………………..Fax…………………………………e-mail…………………………………………………………………
Tax file number (Fiscal Code)…………………….......................………………….......................................
Invoice data (mandatory if the registration is paid directly by your Instuitution)
Intestazione…………………………………………………………………………………………………………………………………………………….............................................................
Full address………………………………………………………………………………………………………………................................................................................... ......
V.A.T. number………………………………………………………………………............……
The registration to the Congress include registration to the Italian Proteomics Association for 2018 (€ 20), registration to EuPA and the social dinner
Before July 1st 2018, <7ys from PhD 150€
Before July 1st 2018, >7ys from PhD 200€
Late/on site registration € 250
Social dinner for accompanying persons € 50
A confirmation is required for the following activities check if interested
⃝ Workshop Food and Nutrition (HPP-FaN) (free for ItPA affiliates) 5th September 2018
Luncheon seminar by Bruker (free for ItPA affiliates) 7th September 2018 ⃝
PAYMENT
Payments can be done by electronic transfer to the Italian Proteomics Association
Account number: 000081569329; ABI: 07601; CAB: 03200; CIN: I
IBAN: IT12I0760103200000081569329
(C/C BANCOPOSTA)
Please write LAST NAME CONGRESS ITPACOMO2018 in the payment description. After the payment is cleared, please send a copy of the payment and REGISTRATION FORM to the Treasurer Laura Giusti: [email protected]
Privacy In compliance with the Italian Legislative Decree no. 196 dated 30/06/2003, I hereby authorize the recipient of this document to use and process my personal details for the purpose of recruiting and selecting staff and I confirm to be informed of my rights in accordance to art. 7 of the above mentioned decree. I also grant permission to provide my details to EuPA (European Proteomics Association) and HUPO (Human Proteome Organization).
Signature ………………………………………………………………………… Date………………………………………………………………………………………….