MEDFORUM 2013 Registration form
“MEDFORUM 2013: the beginning of a new cycle”
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Name *
Surname *
E_mail: *
Telephone number *
Organization *
Job position *
Mail address *
ZIP/Postal Code
City *
Country *
Travel information
Need invitation letter *
Need hotel reservation? *
All guests will be accommodating at the Farm Castiglionchio – Rignano sull’Arno - (http://www.castiglionchio.it/default_eng.asp)
A titre d’information, merci de nous indiquer /For our information, please specify :
Date et Heure d’arrivée / Date and time of arrival:
MM
/
DD
/
YYYY
Time
:
Airport
Date et Heure de départ / Date and time of departure:
MM
/
DD
/
YYYY
Time
:
Airport
Workshops of the MedForum 2013
Wednesday 13 November: PARALLEL WORKSHOPS *
You must choose one of the Workshops
Thursday 14 November: PARALLEL WORKSHOPS *
You must choose one of the Workshops
Do you want to visit Florence by night with private shuttle service? - Vous voulez faire la visite Florence de nuit avec un service navette privé? *
14 November 2013
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