Send this form to roberto.monaco@polito.it
SURNAME: ___________________________ NAME:___________________________
INSTITUTION or/and UNIVERSITY: ________________________________________
POSITION: _____________________________________________________________
ADDRESS: _____________________________________________________________
ZIP CODE: ________ CITY:______________________COUNTRY: _______________
PHONE NR: _________________________ FAX NR: __________________________
E-MAIL: _______________________________________________________________
A poster session for young participants is planned on Friday 8th, afternoon.DO YOU WANT TO PRESENT A POSTER? YES NO
IF YES PLEASE WRITE A TENTATIVE TITLE ______________________________________________________________________________________________________________________
SINGLE ROOM YES NO
DOUBLE ROOM YES NO (To be shared with ___________________________)
NUMBER OF ACCOMPANYING PERSONS: _________
DATE OF ARRIVAL: ________________DATE OF DEPARTURE: ________________
(Please, note that participants are supposed to arrive not later than Sunday
June 3rd and to leave not before the end of the morning of Saturday June 9th).