Registration form

Abstract submission is open until June 30. Early registration closes on July 21.

Name

Surname

Affiliation

Are you a member of SISTEQ, or are you applying to join?

Yes No

Abstract submission

Are you submitting a title and abstract?

NO Yes, for a TALK Yes, for a POSTER

Title

Abstract

Let us know your (tentative) days of attendance:

First day

/ /

Last day

/ /

Will you attend the welcome aperitif on Monday, September 8?

Yes No

Will you attend the social dinner on Wednsday, September 10?

Yes No

If you have any dietary restrictions, please list them below.

Authorisation to publish your name in the list of participants I authorize the organizers to insert my name in the list of participants of the Workshop, according to the Act 30 June 2003, n. 196 of Italian Republic "Code concerning the protection of personal data" and successive modifications according to GDPR (EU regulation 2016/679).

Yes No

Privacy notice I declare that I have read the privacy notice

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