ISPAC 2022 ISPAC 2022 33nd International Symposium Polymer Analysis and Characterization June 5 – 8, 2022 Milan, Italy Personal information (required) Title Name Surname Personal Address Fiscal Code (mandatory for italian citizens and residents) Department Institution Street Postal code Town Country Phone Email Dietary requirements By submitting this registration form you authorise Fondazione Alessandro Volta to include your personal data on its mailing list for the distribution of information material. We will never share your personal data with any third party. According to the General Data Protection Regulation 2016/679, you may have access to these details at any time and request their modification and cancellation sending an email to: info@fondazionealessandrovolta.it Payment information (required) REGULAR REGISTRATION FEES Academic 600,00 € (VAT 22% included) INSTM members 540,00 € (VAT 22% included) Students 300,00 € (VAT 22% included) Industrial attendee 840,00 € (VAT 22% included) Online attendance: 240 € (VAT 22% included) SOCIAL EVENT FEE Social event (banquet dinner) 70,00 € (VAT 22% included) Payment option: by credit card online by bank transfer *For credit card payment click the "pay now" button at the bottom of this page. *For bank transfer: make it out to Fondazione Alessandro Volta, ref. “ISPAC 2022” drawn on Banca di Credito Cooperativo Alta Brianza e Laghi, Como, Via Rubini 3, 22100 Como - IBAN: IT13L 08329 10900 00000 0300088 – BIC: ICRAITRR950 Please, choose between receipt/invoice addressed to you or to your Institution: For this payment I would like to receive a receipt/invoice addressed to: myself my Institution Receipt/invoice header* (please, indicate receipt/invoice header and full address): For companies - VAT id/Fiscal code* (mandatory if you ask for a receipt/invoice addressed to your Institution): For Italian citizens and residents - Fiscal code* (mandatory if you ask for a receipt/invoice addressed to you): Important: - For Invoices addressed to Italian Universities, please contact the secretariat (chiara.stefanetti@fondazionealessandrovolta.it) No payment must be made in advance by participants in this case. - Invoices cannot be changed once they have been issued - Invoices are issued in Euros - Payments are handled by Paypal Secure System and can ben made with any credit card. No paypal account is needed. PLEASE NOTE! PLEASE FIRST CLICK ON THE "SEND" BUTTON, THEN GO AHEAD WITH PAYMENT BY PAYPAL. IF YOU DO NOT CLICK ON THE "SEND" BUTTON, THE FORM WILL NOT BE SENT. Payment by Paypal: ISPAC Academic EUR - 600 ISPAC INSTM members EUR - 540 ISPAC Students EUR - 300 ISPAC Industrial attendee EUR - 840 ISPAC Academic + banquet dinner EUR - 670 ISPAC INSTM members + banquet dinner EUR - 610 ISPAC Students + banquet dinner EUR - 370 ISPAC Industrial attendee + banquet dinner EUR - 910 Online attendance EUR - 240 Social event only (Banquet Dinner) EUR - 70 Please indicate the name of the participant if different from the cardholder: