LXVIII SIGA Annual Congress

Registration form

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First name: Surname: Title:

Institute/Department:

Institution (University, Research Institution, Company)

SIGA membership Yes No

Work Address

City: Province: Postal code:

Phone: Mobile: Email:

Personal address, ONLY if necessary for reimbursement

(*) MSc Student, PhD student, postdoc.

Bank transfer

Bank transfer Euro :

in favour of Società Italiana di Genetica Agraria - IBAN IT83S0200803050000105805035 - BIC SWIFT: UNCRITM1J28

Attach receipt of bank transfer. Accepted format pdf, doc, jpg (max 500kb)

At the congress venue

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