Contacts Scientific and organizative Secretariat IPAEA - via dei Soderini 18 63100 Ascoli Piceno (Italy) Tel/Fax: +39.0736.250818 ipaeascoli@ipaeascoli.it

Dr. Italia Gabriella Sorgi (President of IPAEA) Tel: +39.0736.250818 Mobile: 331.2984517 - 3405971023 ipaegabriella@libero.it

Fifth International Congress City of Ascoli Piceno Curated by:

IPAEA Institute of Existential and Analytical Psychotherapy

PPL Professional Psychotherapy League of Russia

REGISTRATION >>V International Congress City of Ascoli Piceno>>
V International Congress City of Ascoli Piceno



REGISTRATION TO THE CONGRESS

The registration to the Congress includes:

• The income to all the sessions of the days of 9/10/11 and 12 March;
• The Congressual kit;
• The Coffee-break

REGISTRATION FEES

After the 15/11/2010

Members of WCP, EAP, FAIP, SUR, PPL

€ 200,00

Non Members

€ 250,00

Asia

€ 175,00

Students

€ 140,00

Companions

€ 140,00

Pre-Congress

€ 240,00

Congress proceedings

€ 50,00

Gala dinner

€ 50,00

Terms of Payment

The payment must be made by bank transfer. The Treasury of the Congress is organised by L.P. & T s.r.l. data processing centre located in Ascoli Piceno Via T.C. Onesti No. 3/s

Codes for bank transfer:

IBAN
IT 58 O 08474 13500 0000 4019 0258

SWIFT
ICRAITRRD60

Registration on line

• Please, compile the following form
• Once completed, click on the botton "invia modulo/send form"";
• The payment must be made within 5 days after submitting the form. The Secretariat of the Congress will send you a confirmation;
  

Dati Anagrafici / Personal Data

Nome e Cognome / Name and Surname*:


Email*:


Partecipante o relatore /Participant or Reporter*:


Professione / Profession:


Indirizzo / Address*:


Città / City*:


Cap / Zip Code*:


Nazione / Country*:


Istituto - Ente / Affiliation:


Tel / Phone:


Codice Fiscale / Tax Code:


Partita Iva / Vat Number:

Dati per la fatturazione / Data for Invoicing

Ragione Sociale/Nome e Cognome - Business Name:


Indirizzo Fiscale / Fiscal Address:


Città / City:


Cap / Zip Code:


Nazione / Country:


Codice Fiscale / Tax Code:


Partita Iva / Vat Number:

Quote di iscrizione / Registration Fees

Socio / Member Wcp-Eap-Ppl-Faip-Sur = € 200
Non Socio / Non Member = € 250
Asia / Asian Region = € 175
Studente / Student = € 140
Accompagnatore / Companions = € 140

Altri Servizi / Other Services

Crediti ECM = € 30

Precongresso / PreCongress = € 240

Atti del Congresso / Proceedings of the Congress = € 50

Cena di Gala / Gala Dinner = € 50

Informativa sulla privacy

Ho letto l'informativa sulla privacy e autorizzo il trattamento dei dati inseriti in questo modulo da parte dell'Istituto IPAEA di Ascoli Piceno nei limiti di cui alla stessa / I have read all the infomations about the data treatment and I authorize the treatment *