Registration Form
Title
First Name*
Middle Name
Family Name*
University*
Company:
Address*
City*
Zip code*
Country*
State
(only U.S.A)
Phone* + -
Fax + -
E-mail*
REGISTRATION FEES
Category* Early
(from April 11 to June 30)
Late
(from June 30 to Sept 15)
On site
(after 15 Sept)
(Only Cash)
Total in EURO
Senior (Country List A)
550 Euro
650 Euro
700 Euro

Senior (Country List B)
400 Euro
500 Euro
550 Euro
Students (Country List A)
350 Euro
450 Euro
500 Euro
Students (Country List B)
200 Euro
300 Euro
350 Euro

This Registration Fee DOES NOT include Hotel Accommodation


REGISTRATION POLICY
Please Read the Information on Registration Fee and Policy
OPTIONAL INFORMATION
(This is not a hotel reservation)
ARRIVAL DATE DEPARTURE DATE Number of Nights  Single RoomSingle Double RoomDouble
Oct 2011 Oct 2011    
Remarks:




Registration Secretary
Tel: +39 81 7462103 - Fax: +39 81 7463323
Email: 
NCXConference@altervista.org

To Report a Web-Site Problem, e-mail: ncxconference@altervista.org