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CONGRESS
INTERNET & MENTAL HEALTH

FORM FOR ON LINE REGISTRATION

As said in the presentation of the Congress, Genoa University have placed the public hall at our disposal, but its room is of only 350 places, so if the requestes will exceed the offer it will bear witness the date of the request and the will of bringing to Genoa a paper: we do think that this is the best way to make a choise.

We remember also that with the form below you can ask for hotel reservations and every thing else connected with your journey to Genoa in the next february.

The congress has a fee for the application form of 200.000 italian liras for registrations before 11/30/97 and of 250.000 italian liras after this date.

It's possible to pay with your credut card or with a money order directed to CpA SRL CC 19069 Agency 16 ( Rome, Italy) BANCA NAZIONALE DEL LAVORO ( ABI 1005, CAB 03216), indicating the payment for " Internet Congress, Genova".

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Name:
Surname:
E-mail:
Street:
City:
Province ( if italian) :
ZIP Code:
Tel. office:
Fax:
Tel. home:
Nation :
Profession:
Are you disposed to send an abstract?:
Do you need tourist informations?:
Do you need to be contacted by our travel agency?:
Do you want to subscribe the Mailing-list Genua98 ?:

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