Registration form *Compulsory data
First name* Family name*
Private address* Town*
Country* Zip code*
Phone* Fax*
Mobile Ph.
Department Role
Address* Town*
Country* Zip code*
Phone* Fax*
E-mail (main)* E-mail (secondary)

I would like to register and receive update on the scientific program:

yes    no
NOTES FOR ORGANIZING SECRETARIAT (not exceeding 600 characters):

N° characters:
Information according to Legislative Decree no. 196/2003. Your personal data, that you voluntarily provided on this occasion and that have been collected by My Meeting Srl, shall be processed either manually or with the help of electronic and/or automated means, for the following purposes: filing your participation in Congresses, Conferences, Meetings and other Events organized by My Meeting Srl; complying with law obligations. Your data shall be communicated to suppliers and third parties involved or participating in the Event organized as well as to relevant public authorities, in compliance with law provisions. The nature of providing the requested data for the purposes listed above is compulsory for your participation in the Event. The data controller is My Meeting Srl, whose head office is in Via 1° Maggio 33/35, 40064 Ozzano dell’Emila (BO), Italy. As a data subject, you shall exert all the rights provided for by Title II of Legislative Decree no. 196/2003.

I give my consent to the processing and communication of my personal data for the purposes listed above.