Registration form for VENICEHP
 Venice, Italy,September, 22-25, 2002
Organized by: AIDIC, The Italian Association of Chemical Engineering

Full fee registration includes:

Free attendance at the Conference, Conferences facilities, Proceedings and CD, Coffee Breaks, Lunches and 
Taxes (20%VAT )
   
Student fee registration includes:  Free attendance at the Conference, Coffee Breaks and 
Taxes (20%VAT )

Note! Authors pay the registration fee. At least one author per paper must register before July 15, 2002 to prevent his contribution being withdrawn from the Final Program.

Date
Surname
First names
Academic Title
Organization
Street or POBox
Town incl.Zip
Country
telephone
fax
e-mail
accompanied by
 
Fees (20% VAT included)
 Price Number Total
Early bird full fee (payment made before June 30, 2002) 520 EUR
Full fee (payment made after June 30, 2002): 620 EUR
Students and PhD students (proceedings and lunches are not included) 300 EUR  
Lunch (not included for students and accompanying persons)
 25 EUR
Gala Dinner (optional) 100 EUR
  Total paid


I am settling my payments by the following way (tick as appropriate):

Cheque made payable to "AIDIC Servizi S.r.l." (please send to address of VeniceHP-Secretariat)
Bank transfer to:
AIDIC Servizi S.r.l.
(bank name and agency number) BANCA INTESA, Ag. 59,
 (address) Via Bonardi 4, I-20133 Milano, Italy
(bank coordinates) ABI 3069 CAB 01749 ACCOUNT 11154/1
 Please make sure that your bank transfer charges are not deducted from the total payment required.
Credit Card
Type of Credit Card
Credit Card No:
Card expiry date

We regret to inform you that any cancellation after August 22nd 2002 will not be refunded.


Letter of Invitation
I wish to receive a letter of invitation (No financial commitment on the part of the organisers is implied).