Registration form | SLERD 2022

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 - within 31 May 2022: (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 2022 conference