Registration form

Name *

Surname *

Institution *

Email *

Phone number

Arrival date
---2014-02-052014-02-062014-02-072014-02-08

Departure date
---2014-02-062014-02-072014-02-082014-02-09

Registration options
Free registrationRegistration with meals (for a fee)

Social Dinner (Certosa Museum excursion and dinner)
 Yes No

Type of intervention
Participants (without presentation)Short talk (10 min presentration + 5 min discussion)Standard talk (20 min presentration + 10 min discussion)Long talk (30 min presentration + 15 min discussion)

Title of the intervention

Poster presentation (max size 100x200 cm)
 Yes No

Poster title