Registration Form

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	REGISTRATION FORM ITALIAN-JAPANESE JOINT SYMPOSIUM

Do you agree to publish your e-mail address on the web after the registration process?

Personal information

	Title* :
	First Name*:
	Last name*:
	Institution/Company*:
	Department:
	Address*:
	City*:
	Postal code:
	Country*:
	Phone*:
	FAX:
	e-mail*:

Position

	Undergraduate:
	PhD student:
	PostDoc:
	Assistant professor:
	Professor:
	Other:

Information for Badge

	Name for badge*:
	Organization for badge*:

Scientific Contribution

	Plenary lecture:
	Oral:
	Poster:
	None:

Plenary lectures and oral presentations will be held by invited speakers. Research contributions, in form of posters related to the Symposium main topics, are welcome. Scientists wishing to present a contribution at the symposium should submit an abstract according to the format indicated in the web site (http://www.fitomed2008.com). Abstracts should be submitted before March 10, 2008 as e-mail attachment in Word-format (author.doc) to pmontoro@unisa.it Symposium main topics: 1) Chemistry and biological activity of natural products 2) Functional foods 3) Therapeutic use of natural products.

Registration fees

	Registration fee* for scientists and accompanying persons:	Euros 120
	Full day excursion through Amalfi coast and lunch (June 29 2008)	Euros 80
	Registration fee all inclusive** for scientists and accompanying persons:	Euros 330

*The registration fee for participants includes attendance to the Symposium, the registration package and the abstract book, the coffee/tea in the breaks, the get-together party, all the meals, the social dinner in Paestum. The registration fee doesn’t include the Hotel accommodation, the full day excursion, and lunch through the Amalfi coast on June 29.

**The registration fee all inclusive for participants includes the full hotel accommodation with breakfast and lunch, for two nights (June 27 and 28 2008) at the Grand Hotel Salerno (four stars), attendance to the Symposium, the registration package and the abstract book, the coffee/tea in the breaks, the get-together party, all the meals, trip and social dinner in Paestum, the full day excursion through the Amalfi coast and lunch on June 29. The registration fee doesn’t include the Hotel accommodation for the night June 29, which requires an additional cost of Euros 80.

You can pay your fees via bank transfer to “Società Italiana di Fitochimica” Bank Name: Banco di Napoli, Agenzia di Fisciano Swift: IBSPITNA IBAN: IT11L0101076210100000001678       Comment: Your Name, Italian-Japanese Joint Symposium Registration Please specify if your payment covers registration fee, registration fee plus full day excursion or registration fee all inclusive. Please do not forget to send one copy of the bank transfer receipt via electronic-mail (aperrone@unisa.it) or fax to the attention of Dr. Angela Perrone +39 089 969602

Hotel accomodation

For more information on the Hotel accommodation and reservations see the section “Location “ of the web site. Registration fee all inclusive requires no hotel reservation

Accompanying person

	First name:
	Last name:

Room reservation:

	Single room:
	Doble room:
	with:
	Triple room:
	with:

After registration submission you will receive a confirmation email containing the details you have entered. If you do not receive this confirmation email, please contact aperrone@unisa.it

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