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CONGRESS
INTERNET &MENTAL HEALTH

FORM FOR ON LINE REGISTRATION

As said in the presentation of the Congress, Genoa University have placed the public hall at our disposal, but its room is of only 350 places, so if the requestes will exceed the offer it will bear witness the date of the request and the will of bringing to Genoa a paper: we do think that this is the best way to make a choise.

We remember also that with the form below you can ask for hotel reservations and every thing else connected with your journey to Genoa in the next february.

The congress is free of charge but you have to pay for your travel! .


Name:
Surname:
E-mail:
Street:
City:
Province ( if italian) :
ZIP Code:
Tel. office:
Fax:
Tel. home:
Nation :
Profession:
Are you disposed to send an abstract?:
Do you need tourist informations?:
Do you need to be contacted by our travel agency?:
Do you want to subscribe the Mailing-list genua98 ?:

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