Registration

Please note: attendance is limited to 30 participants.

To submit a registration fill in and send the form below.

Personal information (required)

Name

Surname

Institution

Street

Postal code

Town

Phone

Email

Curriculum vitae [pdf, max 2MB]

Registration fee (VAT 22% included)
 € 300,00 registration fee only.

Financial support (required)

Do you wish to apply for a financial support, to help you covering your travel/accommodation expenses? (Reserved to young researchers, max 35 years)
 yes no

Payment information (required)

Payment option
 by credit card online by bank transfer
*For credit card payment click the "pay now" button at the bottom of this page.
*For bank transfer: make it out to Centro Volta, ref. “Chronic Disease” drawn on Banca di Credito Cooperativo Alta Brianza – Alzate Brianza, Como, Via Rubini 3, 22100 Como – IBAN: IT 67 B 08329 10900 000000300918 – BIC: ICRAITRR950

Type of document
 receipt invoice
Invoice to be sent to:

VAT id/Fiscal code

Indicate both if different: they are mandatory to issue invoices.

By submitting this registration form you authorise Centro di Cultura Scientifica “Alessandro Volta” to include your personal data on its mailing list for the distribution of information material. In accordance with the Law 196/2003, you may have access to these details at any time and request their modification and cancellation.

CDAS Registration fee - VAT 22% included