Convegno Annuale AEIT 2014 Associazione Italiana di Elettrotecnica, Elettronica, Automazione, Informatica e Telecomunicazioni Trieste, 18-19 Settembre REGISTRATION FORM (FILL IN BLOCK CAPITALS) Forward to: AEIT - UFFICIO CENTRALE Via Mauro Macchi 32, 20124 Milano Fax 02 66989023 Tel. 02 87389965 www.aeit.it/man/CA20134 – E-Mail: [email protected] FAMILY NAME ___________________________________FIRST NAME ________________________________________________ Society ____________________________________________________________________________________________ VAT Number ________________________________________________________________________________________ Address __________________________________________________________________________________________________________ Post Code ____________ City _________________________________ State ___________________________________________ Phone __________________________ FAX ______________________ E-MAIL _______________________________________________ REGISTRATION FEES Before August 5 2014 Euro Euro Euro Euro 280,00 420,00 180,00 250,00 AEIT/IEEE Members Euro Non Members Euro Single Day AEIT/IEEE Members September 18 September 19 Euro Single Day Non Members September 18 September 19 Euro ON SITE AEIT/IEEE Members Euro Non Members Euro Single Day AEIT/IEEE Members September 18 September 19 Euro Single Day Non Members September 18 September 19 Euro ______________________________________________________________________________________ Participation to International Workshop (September, 17) Opportunities and Constraints of a Transnational Balancing Market in Europe free 320,00 460,00 220,00 275,00 AEIT/IEEE Members Non Members Single Day AEIT/IEEE Members Single Day Non Members September 18 September 19 September 18 September 19 Before September 1 2014 350,00 500,00 250,00 300,00 Participation to Gala Dinner on September, 18 2014 € 50,00 each for n ___ persons Euro _____ Students – Admission is free for students of contributions to the Conference, provided that it a co- author is registered to the conference TOTAL EURO ______ 1 VAT non Applicable for AEIT Members artt. 1 e 4 (4 comma e 5 comma – lettera A) del D.P.R. n. 633 DF 26.10.1972 2 VAT included Registration fee includes: Conference Proceedings, coffee-breaks, lunchs. Payment Wire Transfer to AEIT - Ufficio Centrale (please send copy of payment) - ALLIANZ BANK - Financial Advisors - IBAN IT64 N 0358901600010570360672 CREDIT CARD: VISA EUROCARD MASTERCARD CARTASI N° ____________________________________________EXPIRATION DATE ___________________________________ CARD’S HOLDER ____________________________________________________________ CSV ___________________ Date _____________________ Signature ______________________________________________________________________ According to D. Lgs 196/2003 I agree to be informed about AEIT Events - YES NO
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