Congress Registration Form

E C O N O M I X

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Terms of Address *

Name & Surname *

First

Last

Corresponding E-mail *

Country *

City *

Postal Code *

Address *

Organization *

Professional Title *

Mobile Phone Number *

I am currently a Student *

I will participate for *

Specific dates of participation: *

I will attend the following Social Events *

Type of Participation (as an Author) *

Listeners only should select the option "I will not be participate as an author".

Relevant Field of Topic *

Listeners only should select the option "None".

Title of Paper *

Listeners only should mark the field with "/".

Type of Presentation (as an Author) *

Listeners only should select the option "I will not be presenting".

Preferred Method of Payment *

Comment or Message

For alternative Congress Registration, contact: [email protected]