ELETTRA Fifth Users' Meeting

Trieste, 1-2 December, 1997

REGISTRATION FORM

To be sent to:

ELETTRA Users' Meeting

Users' and European Relations Office

Sincrotrone Trieste S.C.p.A.

ss. 14 - km. 163,5

34012 Trieste, ITALY

Phone +39-40-3758628-8538 -8592

Fax + 39-40-3758565

e-mail: useroffice@elettra.trieste.it

www address: http://www.elettra.trieste.it

 

by November 15 th,1997

PLEASE PRINT

 

Title:...................................... First Name:........................................................................

Family Name:....................................................................................................................

Address:................................................................................................................................................................................................................................................................................

Telephone:.........................................................................................................................

Fax:.........................................................................................................................................

E-mail:..................................................................................................................................

Date of arrival:................................................................................................................

Please enclose a photocopy of a money transfer payable to :

BANCA NAZIONALE del LAVORO : Sede di Trieste

P.za Ponte Rosso, 1 34121 Trieste

cod. ABI: 01005

cod. CAB: 02200

cod. CIN: K

Bank account no.: 17613

OPERATION CAUSE: Registration for "Fifth ELETTRA Users' Meeting"

The invoice should be made out to:.........................................................................

................................................................................................................................................

V.A.T. No. .................................................................................................

Date:..................................................Signature:...............................................