Registration form


To register for the ECVP 2012 conference please complete the following form. All fields marked with an asterisk (*) are required.

  Early Registration
until 30 June 2012
Late Registration
from 1 July 2012
Researcher € 220 € 280
Student € 180 € 220
Social dinner € 60 € 60

Personal information

*First name

*Surname

*Email

*Telephone number

Address

City

Post code

Country

Participant information

*Participant category

*Arrival date (dd/mm/yyyy)

*Departure date (dd/mm/yyyy)

Social dinner

Additional social dinner for accompanying people (€60 per person)

Dietry requirements

Specific dietry requirements

Organisation

*Affiliation

*Address

*City

*Post Code

*Country

Payment

On sending this registration form you will be redirected to a secure website for online payment by credit card.

Once the payment is validated you will receive registration confirmation by email. This process is not automatic and may take a few days.

Please contact us at ecvp2012@uniss.it with any enquiries.