Please send the form, preferably by e-mail, to

Augusto Micheletti, Secretary of CIRM
Fondazione Bruno Kessler
Via Sommarive, 14 – Povo

I- 38123 Trento, Italy
micheletti@fbk.eu

REGISTRATION FORM

Cohomology of Complex Manifolds and

Special Structures

Levico Terme (Trento), June 19-22, 2018

Family Name:

First Name:

Citizenship:

Full address:

e-mail:

Present professional position:

Arrival date (standard: Monday, June 18 afternoon/evening):

Departure date (standard: Friday, June 22 lunch time):

Date:

Signature