Name/Surname*
|
|
Weber Franz
|
Place of birth
|
|
Singen/Germany
|
Date of birth
|
|
11/01/1960
|
Fiscal Code (Italy or 000000 if foreigner)
|
|
non
|
Email
|
|
franz.weber@zzm.uzh.ch
|
FISCAL DATA |
Name/Surname – Company
|
|
University of Zurich/Center for Dental Medicine/Oral Biotechnology & Bioengineering
|
Address
|
|
Plattemnstrasse 11 Zürich 8032 Map It
|
VAT n. (only for company or University)
|
|
non
|
Fiscal code (Italy of 000000 if foreigner)
|
|
non
|
Codice Univoco (for Italy)
|
|
non
|
Payment
|
|
Carta di Credito
|
Ordine
|
|
Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
Registration fee (social dinner not included)
|
1 |
490,00 € |
490,00 € |
Yes
|
1 |
80,00 € |
80,00 € |
|
Subtotale |
570,00 €
|
|
Totale |
570,00 € |
|