Personal information (required)

Name

Surname

Nationality

Affiliation

Street

Postal code

Town

Country

Phone

Gender

Email

By submitting this registration form you authorise Fondazione Alessandro Volta to include your personal data on its mailing list for the distribution of information material. In accordance with the Law 196/2003, you may have access to these details at any time and request their modification and cancellation.

Registration fee (VAT 22% included)

 € 700,00 registration + accommodation (5 nights, from Sunday 21st August to Thursday 25th August, 2016) in Guesthouse or room rental/2 star hotel. Prices are per person in double room or four bedded room, breakfast not included; a kitchen for self preparing breakfast is available in Guesthouse.

 € 750,00 registration + accommodation (6 nights, from Sunday 21st August to Friday 26th August, 2016) in Guesthouse or room rental/2 star hotel. Prices are per person in double room or four bedded room, breakfast not included; a kitchen for self preparing breakfast is available in Guesthouse.

 € 500,00 registration fee only - no accommodation included
(A convention with some hotels in Como allows for alternative solutions if necessary please contact francesco.camporini@fondazionealessandrovolta.it or mariagiovanna.falasconi@fondazionealessandravolta.it)

If you would like to share the room with another participant you know, please specify:

Special needs (e.g food restrictions)

PAYMENT INFORMATION (required)

Payment option
 by credit card online by bank transfer
*For credit card payment click the "pay now" button at the bottom of this page.
*For bank transfer: make it out to Fondazione Alessandro Volta, ref. “Computer supported Cooperative Work” drawn on Banca di Credito Cooperativo Alta Brianza – Alzate Brianza, Como, Via Rubini 3, 22100 Como – IBAN: IT13L 08329 10900 00000 0300088 – BIC: ICRAITRR950

Type of document
 receipt invoice

Invoice to be sent to:

VAT id/Fiscal code

Indicate both if different: they are mandatory to issue invoices.

PLEASE NOTE! PLEASE FIRST CLICK ON THE "SEND" BUTTON, THEN GO AHEAD WITH PAYMENT BY PAYPAL. IF YOU DO NOT CLICK ON THE "SEND" BUTTON, THE FORM WILL NOT BE SENT.