Presentation - Program - Informations - Application Form

 

 

Torino, Centro Congressi “Torino Incontra”, 28-31 maggio 2003

 

APPLICATION FORM

 

 

  

 

Conference Application Form

Those wishing to participate in the Conference are requested to fill in the application form and send it by May 20, 2003, to the Organising Secretary - Agenzia Uno Telephone 00390115627396 - Fax 00390115629708 (application form PDF format) E-Mail archivicinema@agenziauno.com.

Or  to utilize this on line application form.

 

Your on line application form will be confirmed only upon receipt of a document giving proof of payment.
Name:
Surname:
Address:
Postal Code:
 Town:
Country:
Home Tel No:    Mobile Tel No:
Fax No:
 e-mail:
Occupation:
Organisation or   Company:
Office Tel No:
Office Fax:
e-mail:

 

INVOICE DATA (STRICTLY COMPULSORY)

GENERAL PAYMENT DETAILS (PERSON OR ORGANISATION):

 
Surname and   Name or   Organisation   Name:

Address:
V.A.T. No:
TAX Code
ANAI   Member(YES/NO):
Amount to be   payed: (**See belowe)

 

N.B. Please specify if your organisation is V.A.T. exempt.

 

 

 

Registration fee paid on or before April 30, 2003

 

-ANAI member, individual € 50 + 20%VAT

-ANAI member, organisation € 120 + 20% VAT

-Non -ANAI member, individual € 100 + 20% VAT

-Non -ANAI member, organisation € 200 + 20% VAT

 

Registration fee from May 1 to May 20 2003

 

-ANAI member, individual € 80 + 20%VAT

-ANAI member, organisation € 150 + 20%VAT

-Non -ANAI member, individual € 130 + 20%VAT

-Non -ANAI member, organisation € 230 + 20%VAT

 

The registration fee entitles you to:

 

-participation in the conference sessions

-simultaneous translations in Italian and English

-coffee-breaks during conference days

-copy of the conference abstracts

-conference folder

-participation at the gala dinner at the Turin State Archives (Thursday May 29)

-participation at the official opening ceremony of the Asti State Archives, -followed by a reception, including transport (Friday May 30 )

-copy of the conference proceedings

-viewing of restored films as in programme.

 

Participants are responsible for:

 

-hotel expenses

-all meals unless specified

-transport

 

Please indicate your travel details:

 
Date of Arrival:
Date of    departure:
Remarks:

I authorise the use of the information collected exclusively for the purposes indicated above pursuant to the Law on privacy articles 10-11 of Law 677/96

 

 

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Presentation - Program - Informations - Application Form