Authors Registration Form – Florence Heri-Tech

01_Authors Registration - Attendee or Presenter

01_Authors Registration *

Prezzo: 550,00 €

*VAT not included

Title of Paper *

Do you want the paper publication? *

Only 1 Publication is included, to buy other publications without live presentation go to Extras > Publication at the end of form

Indicate all authors of the paper

Billing Information

Name of Institution or person making payment *

VAT number or fiscale code/date of birth *

Fiscal code only for Italian participants

Billing Address *

Billing City *

Billing Country *

Telephone *

E-mail *

Website

Attendee or Presenter Information

Full Name and Surname of the person making presentation *

Male or Female *

Fiscal Code or Date of Birth *

Fiscal Code only for Italian participants

Address *

City *

Country *

Mobile Phone *

E-mail *

How did you find out about the conference?

Will you participate to the Gala Event? *

Only 1 Gala Event is included - If you want to add someone to the Gala Event at the end of the form

Special dietary requirements

For Lunches and the Gala Dinner

Extras

Choose the extras and then make your total

Extras > Gala Dinner

How many other Gala Events are you paying for?

1 Gala event is included for the authors who presents

Insert Full name and surname of the extra participants to the Gala Dinner

eg. 1. Monica Smith 2. Lucas Smith

Special dietary requirements

Insert name and dietary requirement eg. Monica Smith - Vegetarian

Extras > Cultural Tour

How many Cultural Tours are you paying for?

The cultural tour is not included, remember to register the presenter too

Insert Full name and surname of the participants to the Cultural Tour

eg. 1. Monica Smith 2. Lucas Smith

Special dietary requirements for the tour

eg. 1. Monica Smith - Vegetarian

Other requests

Extras > Desk

Desk 2mq

How many Desk are you paying for?

Name of one or more institutions present at the desk:

Your total

Total

0,00 €

*VAT not included

Payment

After you sent this Form, you will receive from the organization bureau an email with the payment instructions.

Upload your ID *

Fai clic o trascina il file su quest'area per caricarlo.

Consent to Privacy *

Consent pursuant to Art.13 of EU Regulation no. 2018/679: In execution of the information notice, containing provisions for the protection of persons and other subjects with regard to the processing of personal data, the Applicant hereby consents to the processing of his/her personal data, for the purpose of handling this request for information. IN NO EVENT shall your data be transferred to third parties for any reason whatsoever.

Complete the form to register yourself to the conference. Insert all the data, choose extras and make your total. Then upload the copy of your payment. The registration will be considered only after the payment.