XVth Italian meeting on Active Galactic Nuclei: from the present-day Universe to the Dark Ages - AGN 2024 "(required)" indicates required fields1Registration Type2Personal Data3Payment Data4Billing Data Welcome to the registration form for XVth Italian meeting on Active Galactic Nuclei: from the present-day Universe to the Dark Ages - AGN 2024 Please register online before the deadline; on-site registration will NOT be possible. Registration Type(required)Select an optionStandard fee (€ 200,00)Student fee (€ 100,00) First Name(required)Last Name(required)Affiliation(required)Email(required) Add your email Confirm your email Mobile Phone(required)It will be used ONLY in case of emergencies.Please attach proof of your status (e.g., enrollment certificate, or unemployement declaration)(required)Accepted file types: pdf, Max. file size: 50 MB. Public administration advice If the header for the invoice is a public administration, you should select “Bank transfer” and make sure that its Accounting Office contact us (segreteria@sabiwork.it) before paying. Cancellation Policy All refund requests must be in writing by mail segreteria@sabiwork.it as soon as possible. The Conference committee reserves the right to refuse reimbursement of part or all of the fee in the case of late cancellation. However, each case of cancellation would be considered individually. There is a fixed cost of 30 euro for the management of the refund procedure. Payment Method(required)Select an optionBank TransferCredit Card (Stripe)Bank payment informations The fees must be paid in Euro (€) to Sabi Work srl. Beneficiary: SABI WORK SRL Beneficiary Address: Via Ospedale Civile N° 33-35121 Padova Bank name: Unicredit Banca, Agenzia Padova San Fermo – Padova, Italy Account nr. 000101959623 International Bank Account Number: IT 80 U 02008 12101 000101959623 Swift or BIC Address: UNCRITM1923 Description of payment:Please specify “AGN”, your Last Name and First Name. Please note that all bank charges must be covered by Remitter.Credit Card (Stripe)(required)Card Details Cardholder NamePayment Amount Invoice Header(required)Address(required) Address (required) City (required) State/Province (required) ZIP Code (required) AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country (required) VAT NumberCODICE FISCALE / ITALIAN TAX ID CODE (required for owners)CODICE SDI / PEC (required for Italian VAT number owners)Privacy Consent(required) I read and agree with SabiWork Srl privacy policy, terms and conditionsBy registering you agree with our privacy policy and to the use of images/recording collected during the conference and social events on social media and other web platforms.NameThis field is for validation purposes and should be left unchanged.