{\rtf1\mac\deff2 {\fonttbl{\f0\fswiss Chicago;}{\f2\froman New York;}{\f3\fswiss Geneva;}{\f4\fmodern Monaco;}{\f13\fnil Zapf Dingbats;}{\f14\fnil Bookman;}{\f15\fnil N Helvetica Narrow;}{\f16\fnil Palatino;}{\f18\fnil Zapf Chancery;}{\f20\froman Times;} {\f21\fswiss Helvetica;}{\f22\fmodern Courier;}{\f23\ftech Symbol;}{\f33\fnil Avant Garde;}{\f34\fnil New Century Schlbk;}{\f1792\fnil Lucida Bright;}{\f1793\fnil Skia;}{\f2000\fnil Garamond Narrow;}{\f2007\fnil Delphian;}{\f2011\fnil Apple Chancery;} {\f2013\fnil Hoefler Text;}{\f2017\fnil Lubalin Graph;}{\f2018\fnil Hoefler Text Ornaments;}{\f2024\fnil Machine;}{\f2029\fnil Nadianne;}{\f2036\fnil Old English Text;}{\f2038\fnil Onyx;}{\f2040\fnil Oxford;}{\f2046\fnil Swing;}{\f2052\fnil Zeal;} {\f14811\fnil Helvetica Compressed;}{\f14974\fnil Helvetica Black;}{\f15090\fnil Tekton Plus Regular;}}{\colortbl\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0; \red255\green255\blue0;\red255\green255\blue255;}{\stylesheet{\s243\tqc\tx4819\tqr\tx9638 \f21\fs20 \sbasedon0\snext243 footer;}{\s244\tqc\tx4819\tqr\tx9638 \f21\fs20 \sbasedon0\snext244 header;}{\s247\qj\fi282\li1134\ri424\keepn \b\f21\fs18 \sbasedon0\snext0 heading 9;}{\s248\keepn \b\f21\fs18 \sbasedon0\snext0 heading 8;}{\s249\qc\fi708\li708\keepn \b\f21\fs16 \sbasedon0\snext0 heading 7;}{\s250\keepn \b\i\f21 \sbasedon0\snext0 heading 6;}{\s251\keepn \b\i\f21\fs20 \sbasedon0\snext0 heading 5;}{\s252\keepn \b\f21\fs20 \sbasedon0\snext0 heading 4;}{\s253\keepn \b\i\f21\fs28 \sbasedon0\snext0 heading 3;}{\s254\qc\sl267\keepn\tx1\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640 \b\f20 \sbasedon0\snext0 heading 2;}{\s255\keepn \b\f21 \sbasedon0\snext0 heading 1;}{\qj \f20 \sbasedon222\snext0 Normal;}{\s1\qj\li5670 \f20 \sbasedon0\snext0 Indirizzo;}{\s2\qj \f20 \sbasedon0\snext2 626/94;}{\s3 \i\f21\fs20 \sbasedon0\snext3 Body Text;}{\s4 \i\f21\fs20 \sbasedon3\snext4 Riferimento;}{\s5 \f21\fs20 \sbasedon0\snext5 Indirizzo interno;}{\s6 \f21\fs20 \sbasedon0\snext6 Document Map;}{\s7 \f21\fs20 \sbasedon0\snext0 Salutation;}{\s8 \f21\fs18 \sbasedon0\snext8 Body Text 2;}{\s9 \f21\fs20 \sbasedon0\snext0 Date;}{\s10 \f21\fs20 \sbasedon0\snext10 Closing;}{\s11 \f21\fs20 \sbasedon0\snext11 Signature;}{\s12\ri4535\brdrb\brdrs \f21\fs16 \sbasedon0\snext12 Body Text 3;}{\s13\qj\li1418\ri424 \b\f21\fs18 \sbasedon0\snext13 Block Text;}}{\info{\title }{\author Monica Promontorio}}\paperw11907\paperh16840\margl1134\margr1134\margt709\margb284\deftab708\widowctrl\ftnbj \sectd \linemod0\linex0\headery709\footery709\cols1\colsx709\endnhere \pard\plain \s3\qc \i\f21\fs20 {\plain \b\i\f21 EFPP Conference Registration Form \endash Rome, october 1999\par }\pard \s3\qc {\plain \b\i\f21 Scheda iscrizione Congresso EFPP - Roma, ottobre 1999\par \par }\trowd \trgaph70\trleft-70 \clshdng0\cellx1418\clbrdrb\brdrdot \clshdng0\cellx9708\pard \s3\sb120\intbl {\fs18 Name/Nome:\cell }\pard \s3\sb120\tx6912\intbl {\fs18 \cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0 \cellx2977\clbrdrb\brdrdot \clshdng0\cellx9708\pard\plain \s3\sb120\intbl \i\f21\fs20 {\fs18 Profession-title/Professione-Titolo:\cell }\pard \s3\sb120\intbl {\fs18 \cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0 \cellx2268\clbrdrb\brdrdot \clshdng0\cellx9708\pard\plain \s3\sb120\intbl \i\f21\fs20 {\fs18 Affiliation/Associazione:\cell }\pard \s3\sb120\intbl {\fs18 \cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx1843 \clbrdrb\brdrdot \clshdng0\cellx9708\pard\plain \s3\sb120\intbl \i\f21\fs20 {\fs18 Address/indirizzo:\cell }\pard \s3\sb120\intbl {\fs18 \cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx1843\clbrdrt\brdrdot \clbrdrb\brdrdot \clshdng0\cellx9708\pard\plain \s3\sb120\intbl \i\f21\fs20 {\fs18 Country/Paese:\cell }\pard \s3\sb120\intbl {\fs18 \cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx3261\clbrdrb\brdrdot \clshdng0 \cellx6521\clshdng0\cellx7088\clbrdrb\brdrdot \clshdng0\cellx9781\pard\plain \s3\sb120\intbl \i\f21\fs20 {\fs18 Tel. (country code, area code, number):\cell }\pard \s3\sb120\intbl {\fs18 \cell }\pard \s3\sb120\intbl {\plain \f21\fs18 Fax:\cell }\pard \s3\sb120\intbl {\fs18 \cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx2268\clshdng0\cellx9708\pard \qj\sb120\intbl {\f21\fs18 E-mail/Posta elettronica:\cell }\pard \qj\sb120\intbl {\f21\fs18 \cell }\pard \intbl { \f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx3402\clbrdrt\brdrdot \clbrdrb\brdrdot \clshdng0\cellx9708\pard \qj\sb120\intbl {\f21\fs18 Name(s) of accompanying person(s):\cell }\pard \qj\sb120\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\pard \qj {\f21\fs20 \par }\pard\plain \s255\keepn \b\f21 {\fs18 REGISTRATION \endash INSCRIPTION \endash QUOTA DI ISCRIZIONE\par }\pard\plain \qj \f20 {\f21\fs10 \par }\trowd \trgaph70\trleft-70 \clshdng0\cellx1276\clshdng0\cellx4395\clshdng0\cellx6663\clshdng0\cellx8364\clshdng0\cellx9705\pard \qj\intbl {\b\f21\fs18 \cell }\pard \qj\intbl {\b\f21\fs18 \cell }\pard \qj\intbl {\b\f21\fs18 \cell }\pard \qc\intbl { \b\i\f21\fs18 No. of persons\cell }\pard\plain \s252\keepn\intbl \b\f21\fs20 {\fs18 Total Liras\cell }\pard\plain \intbl \f20 {\b\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx1276\clshdng0\cellx4395\clshdng0\cellx6663\clshdng0\cellx8364 \clshdng0\cellx9705\pard\plain \s254\qc\sl267\keepn\tx1\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\intbl \b\f20 {\fs18 Fees\cell }\pard\plain \qj\intbl \f20 {\f21\fs18 Participant\cell }\pard \qj\intbl {\f21\fs18 Lit. 550.000 (Euro 285)\cell }\pard \qc\intbl {\f21\fs18 \'c9\'c9\'c9\'c9..\cell }\pard \qc\intbl {\f21\fs18 \'c9\'c9\'c9\'c9\'c9\'c9\cell }\pard \intbl {\f21\fs18 \row }\pard \qj\intbl {\f21\fs18 \cell }\pard\plain \s3\intbl \i\f21\fs20 {\fs18 All Students & Trainees (including non-EFPP members)\par }\pard\plain \qj\intbl \f20 {\f21\fs18 Tutti gli Studenti e Allievi (anche non membri EFPP)\cell }\pard \qj\intbl {\f21\fs18 \par \par \par Lit. 300.000 (Euro 155)\cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \qc\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\pard \qj\intbl {\f21\fs18 \cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \qj\intbl { \f21\fs18 \cell }\pard \qc\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\pard\plain \s254\qc\sl267\keepn\tx1\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\intbl \b\f20 {\fs18 Gala Dinner\cell }\pard\plain \qj\intbl \f20 {\f21\fs18 Yes No \cell }\pard \qj\intbl {\f21\fs18 Lit. 155.000 (Euro 80)\cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \qc\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clbrdrb\brdrs \clshdng0 \cellx2268\clbrdrb\brdrs \clshdng0\cellx8364\clbrdrb\brdrs \clshdng0\cellx9639\pard\plain \s255\keepn\intbl \b\f21 {\fs18 \cell }\pard\plain \qj\intbl \f20 {\f21\fs18 \cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\pard\plain \s255\keepn \b\f21 {\fs18 ACCOMMODATION \endash PRENOTAZIONE ALBERGHIERA\par }\pard\plain \qj \f20 {\f21\fs18 \par }\trowd \trgaph70\trleft-70 \clshdng0\cellx4111\clshdng0\cellx8364\clshdng0\cellx9639\pard \qj\intbl {\f21\fs18 Category/Categoria:\cell }\pard \qj\intbl {\f21\fs18 5 ***** 4**** 3 *** \cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx4111\clshdng0\cellx8364\clshdng0\cellx9639\pard \qj\intbl {\f21\fs18 Other accommodation/Altro (specificare):\cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\pard \qj\intbl {\f21\fs18 Number of persons/Numero persone:\cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clbrdrb\brdrs \clshdng0 \cellx1843\clshdng0\cellx4111\clshdng0\cellx6521\clshdng0\cellx7797\clshdng0\cellx9639\pard\plain \s3\intbl \i\f21\fs20 {\plain \f21\fs18 Type of room: \par Stanze richieste:\cell }\pard \s3\intbl {\plain \f21\fs18 Double \par Doppia \cell }\pard \s3\intbl {\plain \f21\fs18 Double as single \par Doppia uso singola \cell }\pard \s3\intbl {\plain \f21\fs18 Single \par Singola \cell }\pard \s3\intbl {\plain \f21\fs18 N of rooms:\par N\'a1 stanze:\cell }\pard\plain \intbl \f20 {\f21\fs18 \row }\pard\plain \s3 \i\f21\fs20 {\fs18 \par Arrival/arrivo ____ / ____ / ____\tab \tab Departure/Partenza ____ / ____ / ____}{\plain \f21\fs18 \par }\pard\plain \qj \f20 {\i\f21\fs18 \par }\trowd \trgaph70\trleft-70 \clshdng0\cellx3544\clshdng0\cellx6804\clshdng0\cellx9639\pard \qj\intbl {\f21\fs18 Hotel deposit/Deposito alberghiero\cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 Lit. 250.000/Room (Euro 130)\cell }\pard \intbl {\f21\fs18 \row }\trowd \trgaph70\trleft-70 \clshdng0\cellx3544\clshdng0\cellx6804\clshdng0\cellx9639\pard \qj\intbl {\f21\fs18 Booking fees/Diritti di prenotazione\cell }\pard \qj\intbl {\f21\fs18 \cell }\pard \intbl {\f21\fs18 Lit. 20.000/Room (Euro 10,3)\cell }\pard \intbl {\f21\fs18 \row }\pard \qj {\i\f21\fs18 \par }\pard \qj {\i\f21\fs18 The hotel booking requires the advanced payment of the deposit. La prenotazione alberghiera \'8f valida solo se accompagnata dal deposito}{\f21\fs18 . }{\i\f21\fs18 \par For cancellation received after Sept. 10th no refund will be granted. Non \'8f previsto alcun rimborso per disdette pervenute oltre la data del 10 settembre.\par }\pard \qj\brdrb\brsp20\brdrs {\f21\fs14 \par }\pard\plain \s251\fi426\keepn \b\i\f21\fs20 Payment \endash Paiement \endash Pagamento\par \pard\plain \qj \f20 {\fs10 \par }\pard \qj\fi-426\li426\tx426 {\f21\fs18 \tab }{\b\f21\fs18\ul Accredito bancario}{\f21\fs18 , presso il conto corrente:\tab }{\b\f21\fs18\ul Bank transfer}{\f21\fs18 , to:\tab }{\b\f21\fs18\ul Tansfert bancaire}{\f21\fs18 \'88:\par }\pard \qj\fi283\li-283 {\i\f21\fs18 \par }\pard \qj\li426 {\f21\fs18 Bank - MONTE DEI PASCHI DI SIENA - AG. 19 V.le Parioli, 142 00197 Roma \par c/c 5206.16 - ABI 01030 - CAB 03217 - Beneficiario/}{\i\f21\fs18 Recipient:}{\f21\fs18 Melograno Congressi S.r.l.\par }\pard \qj {\f21\fs10 \par }\pard \qj\fi426 {\f21\fs18 (please send copy of bank receipt by fax or mail to Melograno Congressi)\par (per favore inviare copia della transazione per fax o posta alla Melograno Congressi)\par (nous Vous prions d\rquote envoyer copie du re\'8du bancaire par fax ou courrier)\par }\pard \qj\fi426 {\f21\fs12 \par }\pard \qj\fi-426\li426\tx426 {\f21\fs18 \tab }{\b\f21\fs18\ul Carta di credito/}{\b\i\f21\fs18\ul credit card}{\i\f21\fs18 \par }\pard \qj\li426 {\f21\fs18 }{\b\f21\fs18 DINERS}{\f21\fs18 \tab }{\b\f21\fs18 VISA}{\f21\fs18 \tab \tab }{\b\f21\fs18 AMEX}{\f21\fs18 \par Carta n.}{\i\f21\fs18 /Card number }{\f21\fs18 \par }\pard \qj\li425\sb120 {\f21\fs18 Nome del titolare/}{\i\f21\fs18 Cardholder\rquote s name}{\f21\fs18 \tab \'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9.\'c9\par Data di scadenza/}{\i\f21\fs18 Expiration date\tab }{\f21\fs18 ......................................\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9\'c9.......\par }\pard \qj\sb120 {\f21\fs18 Firma/}{\i\f21\fs18 Signature}{\f21\fs18 ......................................................................................\par }\pard \qj {\b\f21\fs20 I pagamenti dovranno avvenire in Lire/}{\b\i\f21\fs20 Payments must be in Italian Liras/Paiements en Lires.\par }\pard \qj {\f21\fs16 \par }\pard\plain \s3\qj \i\f21\fs20 {\fs18 La }{\b\fs18 fattura}{\fs18 relativa alla quota di iscrizione verr\'88 emessa contestualmente al pagamento; specificare l\rquote intestazione della fattura e partita IVA o Codice fiscale. \par }\pard \s3\qj {\plain \f21\fs18 The }{\plain \b\f21\fs18 invoice}{\plain \f21\fs18 related to the conference fee will be issued upon payment; specify recipient of the invoice. \par }\pard\plain \qj \f20 {\f21\fs10 \par }\pard\plain \s8 \f21\fs18 {\fs16 I dati utilizzati per inviarla e per registrarla, sono trattati in forma automatizzata al solo fine di organizzare il Convegno con le modalit\'88 necessarie a questo scopo. I dati non saranno divulgati a terzi ed \'8f possibile accedervi presso Melograno Congressi S.r.l., responsabile del trattamento, per verificarne l\rquote utilizzo o per correggerli, aggiornarli, cancellarli od opporsi al loro trattamento. \par }\pard \s8 {\fs14 \par }\pard \s8 All the data used for mailing and recording this form will be processed by automatic means exclusively for the sole purpose of organizing the Conference and for the arrangements necessary for this purpose. No data will be forwarded to third parties. All processed data is accessible at Melograno Congressi for change or erasal.\par \pard \s8 \par }