Registration FORM

(To be filled out and returned with proof of payment)

Organisation: ..................................................................................................

Title: ............................................................................................................

Name: ...........................................................................................................

Surname: .......................................................................................................

Address: ........................................................................................................

City: .................................................... Code: ...............................................

Country: ........................................................................................................

Tel: ..................................................... Fax: .................................................

Email: ............................................................................................................

Congress participation fee: euro 225,00
(includes inauguration cocktail, coffee breaks & two lunches)

Students: 10% discount

All participation fees should be paid to:

World Peace Congress Account No. 014570217007
ABI: 5548 CAB: 22414 CIN: R
Banca Popolare di Intra – Agenzia 14, Verbania-Pallanza, Italy

For international payments:
IBAN: IT82 RO55 4822 4140 1457 0217 007   SWIFT: BPINIT24