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VERSION (Click)
Registration
Form
|
Family Name
Affiliation
City
Country
Mobile
Email
|
First
Name
Address
Postal Code
Tel.
Fax
|
Please send me an invoice |
Registration fee (Before April 10, 2017) |
Registration fee (After April 10, 2017) |
EDS Member |
€ 550 |
EDS Member |
€ 650 |
Non Member |
€ 650 |
Non Member |
€ 750 |
Students* and retirees
*Letter from University |
€ 400 |
Students* and retirees
*Letter from University |
€ 450 |
Method of payment |
Bank Transfer to be sent to the address below. Please take care of your own bank charges |
Account Name:
Account N°:
Bank:
Address:
ABI:
CAB:
Swift Code:
IBAN Code: |
European Desalination Society
11863.19
Banca Monte dei Paschi di Siena
Corso Federico II , 67100 L'Aquila, Italy
01030
03600
PASCITMMAQU
IT 92 I 01030 03600 000001186319 |
Credit Card ( or ) |
Card No.
Cardholder name |
Exp. date (MM/YY)
Security number
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