MTT 2622 - Registration form
Registration form for the  MTT 2622 Conference - Pisa Septemeber 28-30, 2022 & Online
Sign in to Google to save your progress. Learn more
Email *
Name:
 *
Family Name:
 *
Office phone:
Please use the following format +country code followed by the phone number: e.g +39 123 45678910
Mobile phone:
Please use the following format +country code followed by the phone number: e.g +39 123 45678910
Affiliation:
 *
Postal Address:
 *
Zip Code:
 *
City:
 *
Country:
 *
VAT Number:
This information is necessary for payments received by EU Institutions and compulsory for Italian Institutions if an Invoice to the istitution is required
Codice Fiscale Italiano:
This field should ONLY be filled by Italian citizens if the invoice is to be issued to a physical person and not an Insitution
SDI Code or PEC email address
This field should ONLY be filled by Italian attendees if the invoice is to be issued to an Insitution or a company
Type of registration
No on-site payment (only wire transfer) *
Gala dinner (on September 29th)
A gala dinner voucher may be purchased separately at the cost of €100,00 for both authors and additional guests
How many gala dinner vouchers do you want to purchase?
Please, signal any food allergies and intolerances (for both gala dinner and coffee breaks)
Payment details
 *
Are you an author or a co-author of a paper?
 *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Università di Pisa. Report Abuse
Google Forms