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GAPS Registration

Form
Fill in all applicable fields.
*Campo obbligatorio
Name *
First name(s)
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Family name *
Surname
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Email *
Contact email adress
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Affiliation *
Affiliation (as it will appear on the badge)
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Receipt recipient
Write here all the data regarding the receipt recipient
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Hotel *
Where are you staying
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Date on time of arrival *
GG
/
MM
/
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Ora
:
Date on time of departure *
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/
MM
/
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Ora
:
Conference dinner *
Do you plan to participate to the conference dinner? (Included in the fee)
Additional participants to the dinner
Number of non-registered accompanying person(s)
Scegli
None
1
2
3
4
5
Dietary needs
Special dietary needs (non-dairy, vegetarian, allergies, etc.)
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