In order to register to the EGPA Modena 2016 workshop AFTER FEES PAYMENT,  please fill all the following required information.
If you need an invoice for the payment please write us an email with all your data(egpamodena2016@unimore.it).

 

    Name

    Surname

    Email address

    Position

    University/Organization

    Work address

    Telephone

    Fees payment: [Please write the bank transfer number or credit card
    payment information ATTESTING YOUR FEES PAYMENT]

    Presenting a paper

    yesno

    Attending to the social dinner (Thursday 5th May)

    yesno

    Accompanying person

    yesno

    Food intollerances/Special requirements

    Comments/Other