MIP2024: The 12th International Conference on Molecular Imprinting

Welcome to the registration form for
MIP2024: The 12th International Conference on Molecular Imprinting.

Registration Type(required)

Please attach proof of your status (e.g., enrollment certificate, or unemployement declaration)(required)

Accepted file types: pdf, Max. file size: 50 MB.

Accompanying person(s)(required)

(additional 220€ each)

Yes

No

How many accompanying person(s)?

Price: 220,00 €

Do you need a separate invoice for accompanying person(s) fee?

Yes

No

Accompanying person(s) data

please insert one Name (Last Name, First Name) per row

Accompanying person program includes:

Welcome cocktail reception, lunches, social dinner and 4-5 hour guided walking tour of Verona with a break in a typical place for wine tasting accompanied by a selection of regional dishes.

Payment Method(required)

Cancellation policy

Until 30th April 2024: 40% penalty. Refund 60%.
From 1st May 2024: no refund.

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 “MIP”, your Last Name and First Name.

Please note that all bank charges must be covered by Remitter.

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Additional Invoice Data

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Address(required)

Address (required) City (required) State/Province (required) ZIP Code (required) Country (required)

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