Registration Form - NISC

Please fill in the form following all the steps. For any problem or information, please contact the Organizing Secretariat MCM Eventi e Congressi: segreteria@mcmcongressi.it

 

Please note that the online registration form will not allow the reservations of Hotels and social events if you are not registered in the Congress.

In case the online form does not fulfil your needs, please download, fill in and send the pdf file.

 

 

 
Partecipant
* Title : 
* Gender : 
* First name : 
* Family name : 
* University / Hospital / Institution : 
* Department : 
* Fiscale Code or VAT : 
* Address 
* City : 
* Zip Code : 
* Country : 
* E-mail : 
* Phone : 
Fax : 
   
Accompanying Person(s)
Family name (1) : 
First Name (1) : 
Family name (2) : 
First Name (2) : 
Family name (3) : 
First Name (3) : 
   
 
Invoicing

The invoice related to registration fees, hotel accomodation and agency fee for Hotel Reservation will be issued by MCM Eventi e Congressi. The invoice will be issued to the registrant with the affiliation reported in the registration form.
In case invoicing should be released to another subject please indicate it in the space below:

 
Notes
Please use this field to point out peculiar needs (special meals or hotel requirements/other.....)