ECHIC Conference, 21-22 April 2016
Registration Form
* mandatory field
Name
*
E-mail
*
Address
*
Telephone
*
University
*
Dietary requirements
*
Note:
Transfer to Macerata
Accomodation: Hotel Reservation
Hotel Lauri 3* (Single room EUR41.00 with breakfast)
Hotel Lauri 3* (Double room, single occupancy EUR51.00 with breakfast)
Hotel Lauri 3* (Double or twin room EUR62,00 with breakfast)
Hotel Arcadia 3* (Single room EUR41.00 with breakfast)
Hotel Arcadia 3* (Double room, single occupancy EUR51.00 with breakfast)
Hotel Arcadia 3* (Double or twin room EUR62,00 with breakfast)
Hotel Claudiani 4* (Single room EUR57.00 with breakfast)
Hotel Claudiani 4* (Double room, single occupancy EUR78.00 with breakfast)
Hotel Claudiani 4* (Double or twin room EUR94.00 with breakfast)
Data and Hour of Check in
Data and Hour of Check out
Payment (EUR140.00)
Your e-mail address to receive information about payment by bank transfer
Do you want to attend the pre-conference dinner on 20th April 2016?
(EUR20.00 additional charge)
Yes
No
Submit
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