Early registration form Delegate first name * Delegate surname * Partner (first name and surname) Company name * Address * Postal code * City * Country * VAT Number * E-mail * Telephone * Include my phone number in a WhatsApp broadcast channel (1-2 messages per month) Delegate early bird €525 First time delegate €280 Young delegate <30 €280 Partner early bird €420 Young attendees <10 (free of charge) (babysitting and entertainment options will be provided for an additional fee) I have read and agree to the privacy policy Bank details: Iban code IT 18 G030 6937 1021 0000 0003 437 Bic/Swift code BCITITMM Account number 68185100000003437 Intesa SanPaolo - Sasso Marconi Branch - 40037 Sasso Marconi (Bologna) - Italy Owner of account Mr. Andrea Acquaderni - Strada Maggiore 94 - 40125 Bologna Submit registration Organization FEIBP Congress FEIBP c/o Mrs Elena Berto, Congress Administration Via Porrettana 453 40033 Casalecchio di Reno, Italy Tel.: + 39 051 6113211 – Fax: + 39 051 574319 E-mail: feibpcongress@sitbrush.com