MAIZE AND SORGHUM SECTION OF

EUCARPIA

XXI Conference

“Maize and sorghum breeding in the genomic era”

Bergamo, June 21-24, 2009

REGISTRATION FORM

Family name / Title / First name
Organization
Address
City / Postcode / Country
Phone / Fax
E-mail
Accompanying person: Family name / First name

1. REGISTRATION FEES

Before 01.04.09 / After
01.04.09 / Tour 1 / Tour 2 / No. of
persons / Total 1
EUCARPIA’s member / € 300 / € 350 / € 15 / € 40
EUCARPIA’s non member / € 350 / € 400
PhD students / € 100 / € 150
Accompanying person / € 100 / € 150
Exhibitors* / € 1.500 + tax

* contact for details.

2. ACCOMODATION

Rate per room-night
Single room / Double room / No. of nights / Total 2
Hotel A / € 98 / € 118
Hotel B / € 80 / € 80
Episcopal Seminary / € 70 / /

Rate includes breakfast and tax

I wish to share the room with………………………………………………..

Date of arrival ……………………………. Date of departure ………………………..

Due amount

Due amount/nr persons / Registration Total 1 / Accomodation Total 2 / TOTAL

The Registration form and accommodation details will be available on the Congress Center Giovanni XXIII website (www.congresscenter.bg.it, under “Next events and news”).

PAYMENT TERMS

Payment by Bank Transfer

In the name of:

CENTRO CONGRESSI GIOVANNI XXIII srl

Bank: BANCA POPOLARE DI MILANO – FILIALE DI BERGAMO

IBAN: IT70L0558411100000000003432

SWIFT BPMIITMM 155

Payment by Credit Card______

Card type: ______Owner: ______Bank______

Card number ______Expiry date______

Signature______

Print and send to fax number +39 035 236474