2014 ERES EDUCATION SEMINAR ON LINE REGISTATION FORM

IMPORTANT NOTE:

Please note that your REGISTRATION will be accepted only after full payment is received by the secretariat.

IF PAYING BY BANK TRANSFER:

Please make drafts payable in Euro to:

Account Name: CONSORZIO FUTURO IN RICERCA

Bank Details: Unicredit Private Banking - Via Frizzi 21 - 44121 Ferrara, Italy

Account Number: 1326114

IBAN: IT 87 W 02008 13009 000001326114

SWIFT/BIC: UNCRITMY73

• Please ensure that ERES 2014 and your NAME/SURMANE are stated on the REASON of the bank transfer
  
• Bank charges are the responsability of the participant and should be paid at source

IF PAYING BY CREDIT CARD:

Select "CREDIT CARD" in the form below.

After submission, in the confirmation page, click on the link to a secure site.

DEADLINE: NOVEMBER 21, 2014