Transcript SCHEDA DI ISCRIZIONE

REGISTRATION FORM
SUMMER SCHOOL
Cancer biology and therapeutic strategies towards personalized medicine
Lipari, Italy - Hotel Carasco, June 5/9 2017
The form has to be completed and sent by e-mail no later than February 10, 2017 to:
Lisciotto Turismo srl – via Garibaldi 106/a - 98122 Messina
e-mail : [email protected] - Fax: +39 090 679061 – Tel. +39 090 719001
Last name .................................................................................................................................................
Name ..........................................................................................................................................................
Role:
Student
PhD-student
Post-Doc/Fellow
Other (specify)……………………………………..
Address .....................................................................................................................................................
City
..........................................................................................................................................................
State ......................................................................... ZIP code ..............................................................
Tel. ............................................................................ Mobile ................................................................
E-mail .......................................................................................................................................................
Fiscal code (needed for invoice) ___________________________________________________
I hereby confirm that I will attend the summer school and accept the followin program:
June 5 - 08:30 meeting of participants at the Milazzo (Messina, Italy) Port hydrofoil station for Aeolian
Islands (directions and bus tickets available contacting the travel agents of Lisciotto Turismo srl)
09:00 – Departure to Lipari
10:00 – arrival in Lipari, transfer to Hotel Carasco – double or triple room accomodation
12:30 - lunch
14:30 / 17:30: Lessons
Free dinner
June 6 – 8:00 breakfast
09:30/12.30 – Lessons
12:30-14:00 lunch break
14.30 / 17.30 Lessons
Free dinner
June 7 – 8:00 breakfast
09:30/12.30 – Lessons
12:30-14:00 lunch break
14.30 / 17.30 Lessons
Free dinner
June 8 -– 8:00 breakfast
09:30/12.30 – Lessons
12:30-14:00 lunch break
14.30 / 17.30 Lessons
Last night party
June 9 – 8:00 breakfast
09:30/12.30 – Lessons and final exams for certificate and credits
Free lunch
16:00 transfer to Lipari Port
17:00 Departure to Milazzo
18:00 Arrival in Milazzo (bus coincidence available to Messina and Catania Airport, tickets and timetables
available contacting the travel agents of Lisciotto Turismo srl)
The registration fee is € 600,00 including:
Milazzo-Lipari-Milazzo hydrofoil ticket
Transfer to and from Hotel Carasco
Hotel accomodation in double or triple rooms with breakfast included and free access to the pool
Lunch breaks
Lessons
Taxes
Registration and payments
Participation is limited to the first 60 participants on the basis of the email including the registration form
and a copy of the first payment € 200,00 (non-refundable), no later than February 10, 2017 at
[email protected]
Payments should be made by wire transfer to Lisciotto Turismo srl IBAN IT62R0306916520615308552557
The remaining € 400,00 (could be split in two installments of € 200,00) should be wired no later than April
30, 2017
Cancellation policy
Cancellation should be notified by e-mail to Lisciotto Turismo and the first payment will not be
reimbursed. Cancellations received between May 1st and 15, 2017 will be detracted of a further fee
of € 60,00 plus the first payment (€ 200,00); cancellations received between May 16 and 31 will be
detracted of a further fee of € 100,00 plus the first payment; no reimbursement will be provided for
cancellations received after May 31 or non-show.
Data ....................................................................... Firma ....................................................................................
Ai sensi del Decreto legislativo 30 giugno 2003, n. 196 - Codice in materia di protezione dei dati personali, autorizzo la
Lisciotto Turismo srl al trattamento dei dati personali per finalità di comunicazione connesse all’iniziativa. In ogni
momento, Lei potrà esercitare i diritti ex D. Lgs. 196/03, ed in particolare quelli di accesso, cancellazione e opposizione al
trattamento, rivolgendosi a Lisciotto Turismo srl, servizio privacy, via Garibaldi n. 106/A -98122 Messina, che è allo scopo
identificata come titolare e responsabile del trattamento.