Registration form MaX meeting Modena (IT) February 27-28, 2020

The MaX meeting will take place @ CNR Nano (Unimore FIM Department, Physics Building, via Campi 213/A 41125 Modena),

For any information please contact Maria Bartolacelli (maria.bartolacelli@max-centre.eu) or Luisa Neri (luisa.neri@max-centre.eu)
Sign in to Google to save your progress. Learn more
Email *
Name *
Surname *
Affiliation *
phone number *
Dietary requests
Arrival (date and time)
MM
/
DD
/
YYYY
Time
:
Departure (date and time)
MM
/
DD
/
YYYY
Time
:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MAX - European Centre of Excellence. Report Abuse