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

Augusto Micheletti, Secretary of CIRM
Istituto Trentino di Cultura
I- 38050 POVO (Trento), Italy
fax: Italy+0461 810629
michelet@science.unitn.it
 
 

Registration Form






Surname

First Name

Address

e-mail

Arrival Day

Departure Day

Accompanying Persons (please include names, sex, ages if under 16)

Special requirements (e.g. single room, ground floor room, special diet)