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On-line Registration Form

Dear colleague, please fill in your personal information. Field marked with red color must not be empty.
Personal Information
Title:             Name: Family Name: Gender:
E-mail: Phone:
Web Page: Fax:
Affiliation
Position: University or Institute:
Department: Postal Code: Street / P.O. Box:
City: Country:
Contribution Paper and Talk
I plan to give a 15 minutes talk: Title:
 
I am attaching the LaTeX file of my abstract for the talk
I will send the LaTeX file of my abstract for the talk later by e-mail (to the address) isgda2003@equal.it. The deadline is July 15th 2003.
Accomodation
I expect to arrive in Messina on: I expect to leave Messina on: Number of accompanying person:
Registration fee
I will pay (within a week) the registration fee (for me and accompanying person) for the amount of: €  
by inter-bank transfer to Filippo Cammaroto and Enzo Li Marzi account n. 410114041 held at Banco di Sicilia of Messina ABI 01020 - CAB 16513 indicating “registration isgda2003”
Social Activities
I want to participate at the Social Dinner (scheduled for October 3rd) with accompanying person
want to participate to the excursion (scheduled for October 4th) with accompanying person
Communications
Please, indicate here your eventual questions or special requests:
Please, subscribe me to the ISGDA2003 Mailing List in order to have news and information about the congress.
I hereby accept that my personal data as list above will be treated from the organizer of the ISGDA2003 and used for information purposes in the Internet with respect to this congress (according to the Italian Law 675/96 about the privacy of personal data).

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