CT2000, at Villa Olmo, Como (Italy), July 16-22 REGISTRATION FORM Family Name ________ First Name ________ Title Prof/Dr/Mr/Mrs Telephone ________ Fax ________ E-mail ________ Name of Institution ________________ Address ________________ Town ________ Zip Code _____ Country ________ REGISTRATION FEE: Lit. 25/180000 n. ___ DINNER TICKETS: Lit. 7/14/21/28/35/...0000 TOTAL: Lit. 0000 Total amount paid in Italian Lira by: * Eurocheque/Banker's Draft (I enclose proof of payment) * Credit Card Charging: Mastercard/Eurocard Visa Card Number _______________ Expiry Date __/__/__ Name of cardholder ________ Signature of cardholder ............................ ---------------------------------------------------------------------------- I would like to have a receipt/an invoice Invoice to be addressed to ______________ V.A.T. identification no./P.IVA o Codice Fiscale ____________