5^th International Conference on Polyamines: Biochemical, Physiological and Clinical Perspectives

REGISTRATION

(DEADLINE: April 16^th, 2018)

Registration Fee. Attendance at the Conference requires the payment of the registration fee

Fees**	Before April 16^th, 2018	After April 16^th, 2018
Participants	€ 1,150	€ 1,250
Young investigators/students*	€ 800	€ 900
Accompanying persons	€ 850	€ 950
Registration without Hotel accomodation	€ 650

* Up to 28 years old at the time of the Congress. Document signed by the Head of the Department or by the Dean to certificate the young investigator/student status is requested.

The registration fee includes:

Opening session and welcome party (for all participants)
Admission to scientific sessions (for all participants)
Hotel accommodation- breakfasts (for participants who stay in Harword Civil Service International House)
Lunch buffets, dinners and coffee breaks (for all participants)
Gala Dinner and social events (for all participants)
Congress material and Symposium bag (for all participants)
Transportation: departure from hotel to airport
Excursion trips (for all participants)

Registration Fee has to be paid by bank wire transfer (**with expenses to be charged to your account) to:
Account holder: Enzo Agostinelli, International Conference on Polyamines
Via del Forte Tiburtino n. 98
00159 ROMA RM
Bank: UniCredit S.p.A.
Branch Number: Agenzia di Roma Tiburtina C (30639)
Address: Via Tiburtina 81/83 - Roma 00185
From Italy, account n.:
IBAN: IT85N0200805166000400521997
From another country BIC SWIFT: UNCRITM1B59 IBAN: IT85N0200805166000400521997

As further information, ONLY if necessary:
“vendor bank account number” is: 400521997
or by international cheque payable to:
“Enzo Agostinelli, International Conference on Polyamines”

Please mention in any case the name(s) of the participant(s) and “Participation to the 5^th International Conference on Polyamines: Biochemical, Physiological and Clinical Perspectives”

PLEASE, SEND BY E-MAIL THE RECEIPT OF YOUR BANK WIRE TRANSFER TO:
Prof. Enzo Agostinelli
E-mail: enzo.agostinelli@uniroma1.it

ABSTRACTS WILL BE ACCEPTED UPON THE PAYMENT OF THE REGISTRATION FEE

Important deadlines

Deadline Registration fee: April 16^th, 2018
Deadline abstract: April 16^th, 2018
For further information and on-line registration please visit the website of the conference:
http://www.polyamines2018.com
or e-mail to:
enzo.agostinelli@uniroma1.it
hanjia@ntou.edu.tw
iga16077@faculty.chiba-u.jp

REGISTRATION FORM

5^th International Conference on Polyamines: Biochemical,
Physiological and Clinical Perspectives, September 2^nd-7^th, 2018
Deadline: April 16^th, 2018

Family Name (max length 20 characters)

First Name (max length 20 characters)

Title (max length 15 characters)

Institution/Company:Address, City, Postal Code, Country: (max length 150 characters)

Phone/FAX: (max length 15 characters)

e-mail: (max length 100 characters)

How many Guests will you be bringing? (indicate number of adults and children)

Adults

Under 12 years

Please select your gender for rooming purposes.

Male Female

Please tell us if you have any special rooming or dietary needs.(i.e. Kosher Meals, Handicap Access…) (max length 300 characters)

Please tell us your rooming preferences

Single Room Double Room

Abstract Title: (max length 500 characters)

Session number:

(please, choose one session)

Poster session: presentation is mainly performed by poster, but some presentations will be done orally which will be decided by the scientific committee.

I have paid the registration fee by wire transfer (or international cheque), to the Conference Bank account

Bank/Branch number: (max length 150 characters)

Wire transfer number: (max length 50 characters)

Date of issue: (max length 15 characters, please write date in gg/mm/aaaa format)

Number participants/total payement: (max length 15 characters, please write number of participants / total payement eg. 1 / 1150)

on date: (max length 15 characters, please write date in gg/mm/aaaa format)

Electronic Signature: (max length 50 characters)

Personal information sent to the congress will be handled in accordance with law 675/96 of the italian government

5th International Conference on Polyamines: Biochemical, Physiological and Clinical Perspectives