Porvoo 12 - Registration

Porvoo 12, Grosseto, Italy - 18-19 October 2007

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project & contents:
Bud P. Bruegger
engineering & graphics:
Fabrizio Felici

Registration Form

For questions, please contact Bud P. Bruegger <bud@comune.grosseto.it> or Pier Luigi Bonucci <bonucci@comune.grosseto.it>

title

last name *

first name *

country *

affiliation *

e-mail *

landline telephone

mobile telephone

In order to organize shuttle busses from the station to the hotel, we would like to know when you arrive and leave at/from the Grosseto station, respectively.

arrival

departure

In order to better organize the meeting, we would like to know which sessions/dinners you expect to participate in.

morning of Oct 18 * yes no

afternoon of Oct 18 * yes no

morning of Oct 19 * yes no

afternoon of Oct 19 * yes no

gala dinner on Oct 18 * yes no

gala dinner on Oct 19 * yes no

At dinners, I will be accompanied by my spouse * yes no

Please, let us know if you have any special dietary needs.

vegetarian yes no

other, please specify

Do you consent to include your name in the online participants list of the Porvoo 12 web site? *
yes no
[Note that we intend to always publish your affiliation and country; in case you object to this please contact the local organizers]

Do you consent to include your name on the printed participants list that will be handed out at the meeting? *
yes no
[Note that we intend to always publish your affiliation and country; in case you object to this please contact the local organizers]

Do you consent to include your e-mail address on the printed participants list that will be handed out at the meeting? *
yes no
[Distributing your e-mail address in this restricted group will facilitate networking]

* mandatory fields

title
last name *
first name *
country *
affiliation *
e-mail *
landline telephone
mobile telephone
In order to organize shuttle busses from the station to the hotel, we would like to know when you arrive and leave at/from the Grosseto station, respectively.
arrival
departure
In order to better organize the meeting, we would like to know which sessions/dinners you expect to participate in.
morning of Oct 18 *	yes no
afternoon of Oct 18 *	yes no
morning of Oct 19 *	yes no
afternoon of Oct 19 *	yes no
gala dinner on Oct 18 *	yes no
gala dinner on Oct 19 *	yes no
At dinners, I will be accompanied by my spouse *	yes no
Please, let us know if you have any special dietary needs.
vegetarian	yes no
other, please specify
Do you consent to include your name in the online participants list of the Porvoo 12 web site? * yes no [Note that we intend to always publish your affiliation and country; in case you object to this please contact the local organizers]
Do you consent to include your name on the printed participants list that will be handed out at the meeting? * yes no [Note that we intend to always publish your affiliation and country; in case you object to this please contact the local organizers]
Do you consent to include your e-mail address on the printed participants list that will be handed out at the meeting? * yes no [Distributing your e-mail address in this restricted group will facilitate networking]
* mandatory fields