Registration Form Registration Form CSEAR2022 Cognome/Surname * Nome/Name * Early registration (up to 31st July 2022) Late registration (From 1st August 2022) Senior Csear Member € 200 € 250 Senior non Csear Member € 350 € 400 Junior Csear Member € 150 € 200 Junior non Csear Member € 250 € 300 Quota registrazione / Participation fees * Senior Csear Member Senior non Csear Member Junior Csear Member Junior non Csear Member Soggetto che effettua il pagamento della quota di iscrizione / Subject that actually paid * Privato / Private Università / University Titolo/Title * Data e luogo di nascita/ Place & date of birth * Codice fiscale/Fiscal code * Indirizzo di residenza/residence for tax purposes: * CAP/ZIP CODE * Città/City * Phone number (including country code, if known) * indirizzo email/email address * Università/Institution * Partita Iva Università / VAT registration number University * Codice IPA Università (only for Italian University) * Partecipazione coffee break / Coffee break attendance 8 Sept 2022 - morning 8 Sept 2022 - afternoon 9 Sept 2022 - morning 9 Sept 2022 - afternoon Partecipazione light lunch / Light lunch attendance 8 Sept 2022 9 Sept 2022 Partecipazione cena sociale / Attendance at conference dinner * Si / Yes No Accompagnatori cena sociale / n° of Conference dinner guests Il prezzo del biglietto non comprende la quota della cena sociale per eventuali accompagnatori / Conference ticket don't include social dinner for guest * I have read and accept the Privacy Policy for citizens * I have read and accept the Privacy Policy for customers Se sei un essere umano, lascia questo campo vuoto. Invia Δ