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Euchis 2009
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PRE-REGISTRATION FORM

Complete the form: upon successful registration an e-mail will be sent you.

 
Title  
Firstname Lastname
Status
 
Address for correspondence
 
Institution
Department
Address
Zip code  
City Country
E-mail
Phone # Fax #
 
The INVOICE will be addressed to ...
 
... me Codice fiscale (for italians only)
 
... the following: Customer VAT #
Customer name
Customer address
 
Please input your desired Username and Password for future access to Registration, Abstract Submission and Accommodation areas.
 
Username Password
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Secretary: euchis2009@alisf1.univpm.it

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