General meeting of the Fellini programme

Registration

Registration form

Personal Data

Title

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Mr

Ms

Mrs

Dr

Prof.

First Name

Last Name

Email Address

Affiliation

Participation Details

Please tell us the days you'll attend

February 13th ?

In person ?

Participation in person ?

February 14th ?

In person ?

Participation in person ?

Any communications

Social dinner

A social dinner will be held on Monday February 13th

Will you attend?

Do you need a special diet?

Other informations

Consent of personal data

I declare to consent to the publication of my name in the list of participants.

I authorize

Participant list

Your participation will be displayed to everyone who can see this event.