MESSAGGI INTERNATIONAL srl arrow Capri 2009 arrow Registration Online
MESSAGGI INTERNATIONAL srl
Capri 2009
 
 
 
 
 
 
Deadline
December 20, 2008
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 COLONIC DISEASES  
PROBLEMS AND PROGRESS 

Capri NA (Italy), April 2-4, 2009 - Grand Hotel Quisisana - Via Camerelle, 2 - 80073 Capri - Tel. +39 0818370788

Mandatory: fields in red and selection of registration fees for active participants
Once you have completed the registration form, click on the "Send" button
PARTICIPANT DATA
Family Name
Given Name
Title
Date of birth
VAT Number
Fiscal Code
E-Mail
Private Address (Absolutely necessary for all participants)
Address (private)
Post Code/Zip
City
State/Prov
Country
Tel.
Fax.
Mobile
Institution Address
Department
Hospital/University/Institution
Address (institution)
Post Code/Zip
City
State/Prov
Country
Tel.
Fax.
Mobile
Invoice Details (Absolutely necessary for Italian participants)
Name
Address
Post Code/Zip
City
State/Prov
Country
VAT Number
Fiscal Code
I authorize MESSAGGI srl for the general treatment/processing
of my personal data (see reference Italian Law N. 675, 31/12/1996)
REGISTRATION FEES - please check the appropriate item(s)
Active Participant
Before January 31, 2009
By Bank Transfer or by Credit Card on line
From February 1 2009 to March 15 2009
By Bank Transfer or by Credit Card on line
From March 16 2009
By Bank Transfer or by Credit Card on line
Accepted Abstract Fee
By Bank Transfer or by Credit Card on line
Active Participant registration fee includes :
Welcome reception on April 2, 2009, particpation to the scientific sessions, congress kit, coffee break, working lunch on April 3, 2009, evening April 3, 2009, certificate of attendance, certificate of CME Credits for Ialian Participants.
Dinner on Friday April 3, 2009
not included in the registration fees
TOTAL AMOUNT PAID €
all amounts include 20% VAT
PAYMENT
MasterCard, Visa. Se ha scelto “carta di credito on line”, i dati relativi alla carta di credito saranno richiesti dopo aver scelto il bottone “Send”. La trasmissione dei dati relativi alla carta di credito č protetta da protocollo SSL.
MasterCard, Visa. Credit card data will be asked after clicking on “Send” We guarantee secure on line commerce transactions. Your credit card data are requested after pressing the button "Send". Tha data are encrypted using the Secure Sockets Layer (SSL) software.
bonifico bancario al netto di spese bancarie
bank transfer must be net of bank charges

intestato a/payable to: MESSAGGI International srl
Codice Fiscale / Fiscal Code: 05426070966
P. IVA / VAT n.: 05426070966
Banca / Bank: Credito Artigiano SpA,
Agenzia 22 di Milano
Conto Corrente / Account: 000000000210
from Italy:
CAB 01627 ABI 03512 CIN W
IBAN IT 92 W 03512 01627 000000000210
from other countries than Italy:
IBAN IT 92 W 03512 01627 000000000210
BIC SWIFT ARTI IT M 2
Inviare copia del bonifico bancario per fax (027381635)
unitamente alla scheda di iscrizione.
A copy of the bank transfer must be sent
by fax (+39027381635) together with
the registration form completed.