Exhibitor's Form ESPE 2006

Should you have any question about your registration, please send an e-mail to eugenio.peluso@univr.it . All fields marked with an * are mandatory. When you have finished your registration, please click on the submit button at the end of this page. Use "info buttons" for field explanation. See methods of payment.

Company Name *

Contact Name *

E-mail Address *

Telephone

Fax

Address *

City:*

Country:*

Postal ZIP Code:*

I wish to book the following:

Item

Quantity

Total Cost

Exhibition space
At    € 400      
Half page advertisement
in conference programme
At    € 200
Insert in delegate pack
At    € 400     
Registration for person
(including coffee break,
buffet, gala dinner,
at conference price)

At    € 150

TOTAL COST

Università degli Studi di Verona - www.univr.it          

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