REGISTRATION FORM

DEADLINE: MAY 30, 2002

Name __________________________________________________________________________

Surname ________________________________________________________________________

Address _________________________________________________________________________

________________________________________________________________________________

Affiliation ________________________________________________________________________

________________________________________________________________________________

City ____________________________________________________________________________

Country _________________________________________________________________________

Tel. ____________________________________________________________________________

Fax ____________________________________________________________________________

E-mail __________________________________________________________________________

Invoice to: ___________________________________________________________________________

____________________________________________________________________________________

I herewith enclose a copy of Bank Transfer of 650 €

Registration forms without copy of bank transfer will not be accepted.

The total amount for registration has been payed to:
NEW PROGRESS SERVICE s.r.l.
Banca Intesa BCI - AmbroVeneto
Filiale di Porta Padova, 51/53 - Vicenza
Account n. 10020/66
IBAN IT42 D030 6911 8320 0000 1002 066
SWIFF-BAVE IT MM 902 ABI 03069 CAB 11832

Send to: STUDIO dr. Anna Saccardo
Via Bertesina, 394 36100 - Vicenza - Italy
Fax (39) 0444 - 993949 or 303088