REGISTRATION REQUEST FORM

    *Required information

    PERSONAL INFORMATION

    FIRST (& MIDDLE) NAME*

    FAMILY NAME*

    GENDER*

    MF

    DATE OF BIRTH*

       

    E-MAIL*

    Please check again your e-mail address.

    WEB

    TEL. (home)*

    TEL. (work)

    FAX

    OCCUPATION

    INSTITUTION or JOURNAL

    Students should indicate University and course of study.

    CATEGORIES*

    MAILING ADDRESS

    ORGANIZATION

    Fill in only if you choose your office as mailing address.

    STREET*

    ZIP*

    TOWN*

    COUNTY or STATE*

    COUNTRY*

    FURTHER INFO

    This is just a registration request. If your request is accepted, you will receive an e-mail with instructions to access the 2024 Giornate on-line registration form.

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