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Registration Form - ICC2019 - International Comfort Congress

Registration



First Name (*)

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Last Name (*)

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E-mail (*)

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Nationality (*)

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You will attend the Congress as (*)

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Will you be bringing accompanying persons (*)

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Kind of affiliation (*)

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Affiliation Address (*)

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Billing Data (*)

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Phone Mobile (not mandatory) (*)

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Title of paper (*)

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Will you attend the Event Dinner on 30th of August included in the registration fee (*)

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Special meal required (*)

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if YES please specify SPECIAL MEAL

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Additional ticket for Event Dinner on 30th of August for accompanying persons (fee: 90,00 €)

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Additional tickets for accompanying person (fee: 150,00 €, Event Dinner included)

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Time and date of arrival (not mandatory) in Delft

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You will come by

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Payment method

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read and accept (*)

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Controllo antispam: inserisci i caratteri visualizzati
Controllo antispam: inserisci i caratteri visualizzati

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Calcolo codice fiscale

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