Types 2003: Registration Form
This Registration Form must be fully completed, signed, and faxed to:
+39 011 751603
Turin University, C.S. Dept., Miss Daniela Costa and Mrs Claudia Goggioli
together with the receipt of your bank transfer. A separate reservation
form must be sent to the Hotel (see the page "Reservation Form for the
Hotel"). Notice that Reservation must be send to a different fax
number than Registration .
Last Name:
_____________________________________
First Name:
_____________________________________
Institution Name:
_____________________________________
Department:
_____________________________________
Department Address: _____________________________________
Town:
_____________________________________
Post Cod :
_____________________________________
Country:
_____________________________________
email:
_____________________________________
Telephone:
_____________________________________
Fax:
_____________________________________
Signature
_________________________
For any administrative questions, please contact: Types 2003 - Mrs Claudia
Goggioli. E- mail : goggioli@di.unito.it
.
Phone : +39 011 670 6790. Fax : +39 011 751603