Due to the Covid-19 pandemic SLERD 2021 will be in blended format

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Registration will be validated upon the reception of the payment of the conference fee by the organization.

Name (mandatory)

Surname (mandatory)

Birth Date of birth (mandatory)

Nationality (mandatory)

Affiliation

Address (mandatory)

City (mandatory)

ZIP

Nation (mandatory)

Fiscal code

Email (mandatory)

Phone number

Early bird conference fees - (before 10 May 2020) (mandatory)

Payment mode (mandatory)
Bank transfer (with no charges for SLERD)Paypal

Annotations (i.e. specific needs for presentation, etc.)

I agree that the data provided with this form are used by ASLERD for organizational purposes limited to SLERD 2020 conference

SLERD 2021