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)

Tipi di file accettati: pdf, Dimensione max del file: 50 MB.

Accompanying person(s)(required)

(additional 220€ each)

Yes

No

How many accompanying person(s)?

Prezzo: 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.

Credit Card (Stripe)(required)

Dettagli della carta

Nome del titolare

Payment Amount

Invoice Header(required)

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VAT Number

CODICE FISCALE / ITALIAN TAX ID CODE (required for owners)

CODICE SDI / PEC (required for Italian VAT number owners)

Additional Invoice Data

Additional Invoice Header(required)

Address(required)

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

VAT Number

CODICE SDI / PEC (required for Italian VAT number owners)

CODICE FISCALE / ITALIAN TAX ID CODE (required for owners)

Comments

Questo campo serve per la convalida e dovrebbe essere lasciato inalterato.