Please
send the form, preferably by e-mail, to
Augusto Micheletti, Secretary of
CIRM
Fondazione Bruno Kessler
Via Alla Cascata, 56C – Povo
I- 38123 Trento, Italy
micheletti@fbk.eu
REGISTRATION FORM
Complex Analysis and
Geometry - XXIV
Levico Terme (Trento), June 10-14, 2019
Family Name:
First Name:
Citizenship:
Full address:
e-mail:
Present professional position:
I need financial support: Yes/No
I will share a double bedroom with:
Arrival date (standard: Sunday, June
9 afternoon):
Departure date (standard: Friday,
June 14 lunch time):
Date:
Signature