Registration form

Participant data
First Name*
Last Name*
Gender
Affiliation*
Address*
City*
Zip / Postal code*
Country*
E-Mail*
Registration data
Registration fees includes: participation in sessions, book of abstracts and program, welcome cocktail (09/17), 6 cofee breaks (09/18-19-20), excursion (09/21).

Students must send proof of University registration
Early Registration (by June 15)
Profile
Late Registration (after June 15)
Profile
Banquet
Accompanying person
Accompanying person 80 € / person
Banquet 35 € / person
First and last name of additional accompanying persons
Payment
Holder: Comitato Hodierna, Name of Account: X EWIP
Name of bank: Banco di Sicilia Ag. - Palermo
Italian Bank Code: c/c 000 000 126951 - ABI 01020 - CAB 04683 - CIN I - IBAN IT 65
Swift Code BSICITRRPA2

PAYMENT DETAILS:
A copy of the bank remittance is required to process the registration
IMPORTANT: Please, quote in the bank transfer your name, as this will enable us to identify the money when it is received.
Otherwise there may be a delay in processing your order.

Please note that the following restriction apply to refunds on booking cancellations:
Before August 1st 2007 full refund minus a € 20 administration charge.
No refund from August 1st 2007.
Payment throught
Total amount
€    
Abstract
I wish to contribute with a presentation
Session


Title
Preferred form of presentation
The scientific commitee reserves the right to decide form of presentation
Text: Author(s) name(s) + Affiliation

X European Workshop on Insect Parasitoids
www.ewip.org - info@ewip.org - C.F. 97201580822

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