ICT 2005 Messina Conference of Thermodynamical

R e g i s t r a t i o n f o r m

The fields in red are obbligatory.

Personal Information

Title: Name:

Family Name:

Gender:

E-mail:

Phone:

Web Page:

Fax:

Affiliation

Position:

University or Institute:

Department:

Postal Code:

Street / P.O. Box:

City:

Country:

Contribution Paper and Talk

I plan to give a talk with the following title:

Sending the summary following this form

I am attaching the LaTeX file of my abstract for the talk

I will send the LaTeX file of my abstract for the talk later by e-mail (to the address) thermocon2005@unime.it . The deadline is June, 30th 2005.

Registration fee

Professor and Doctor

€

Number of accompanying person:

€

Student

€

Total

€

I will pay the registration fee for the amount of €

The participants have to pay the registration fee by inter-bank transfer to:

Vincenzo Ciancio and Liliana Restuccia
account n. IBAN IT34 A010 2016 5060 0041 0417 307
held at Banco di Sicilia Ag. 6 Viale Libertà, 211, Messina
indicating “registration to Thermocon2005 ”

and communicate the payment by faxing a copy of the bank receipt to the number 178-223-0584 indicating ' Payment for registration fee to Thermocon2005 ' .
We strongly recommend that you also send an e-mail to thermocon2005@unime.it to communicate date, amount, and number of transfer.

Communications

Please, indicate here your eventual questions or special requests:

Please, insert in the Thermocon2005 Mailing List in order to have news regarding the conference.

I authorize that my personal date are used for information purpose by the organizers of the THERMOCON'05 (according an Italian Law about the privacy of personal data).