COMBUSTION MEETING '98
21st Event of the Italian Section of the Combustion Institute
Registration Form

   SEND TO:    ASS. SEZIONEITALIANA DEL COMBUSTION INSTITUTE
                   DIPARTIMENTODI INGEGNERIA CHIMICA
                   UNIVERSITA'FEDERICO II
                   P. TECCHIO - 80125 NAPOLI

Fax +39-81-5936936 - Tel. +39-81-7682263

 Registrant:

  Prof. Dr. Mr./Ms. .......................................................................................................................

 

  Affiliation: .....................................................................................................................................................

 

  Address: .........................................................................................................................................................

 

  Phone ..............................................Fax .............................................. E-mail .............................................

 

 Registration fee:

500.000 Itl   -   Early registration with enclosed payment (up to May 15)

800.000 Itl   -   Late (after May 15) and onsite registration.

100.000 Itl      Student registration (subject to supervisor certification)

                     Supervisor name ...................................................................

                     signature ..............................................................................

limited support for students that registerpaying reduced fee can be requested contacting the Sectionsecretary.

 Payment:

  Ienclose a "Non transferable" check to: "Associazione SezioneItaliana del Combustion Institute"


  Ipay by Credit Card:                 Visa         Mastercard    Expiration date ...........................

Card number: .................................................................................................................

Name: ..........................................................................................................................

Amount .......................................................................................................................

Date ......................................... Signature......................................................................

 Invoicing:
   Theinvoice will be issued to the registrant with the affiliation reported above.
   In case invoicing should be released toanother subject, please indicate it here:
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