MIP2024: The 12th International Conference on Molecular Imprinting "(required)" indica i campi obbligatori1Registration Type2Personal Data3Payment Data4Billing Data Welcome to the registration form for MIP2024: The 12th International Conference on Molecular Imprinting.Registration Type(required)Select an optionFull delegate/Senior (€ 650,00)Student/Junior (€ 380,00)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 200€ each) Yes NoHow many accompanying person(s)? Quantità Prezzo: 200,00 € Quantità Do you need a separate invoice for accompanying person(s) fee? Yes NoAccompanying person(s) dataplease 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. First Name(required)Last Name(required)Affiliation(required)Email(required) Add your email Confirm your email Mobile Phone(required)Will you present an abstract for an oral?(required) Yes NoWill you present a poster?(required) Yes NoWelcome cocktail reception (18th June) Yes NoSocial Dinner (20th June) Yes NoPlease add notes on food preferences (eg: vegetarian, vegan, omnivore ...) or allergiesAccompanying person(s) activities Welcome cocktail reception (18th June) Guided walking tour of Verona with wine tasting experience (19th June) Social dinner (20th June)Please add notes on food preferences (eg: vegetarian, vegan, omnivore ...) or allergies for accompanying person(s)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.EmailQuesto campo serve per la convalida e dovrebbe essere lasciato inalterato.