Registration

information

Upon a successful submission of your registration you will be shown a message clearly stating that your data have been safely received and saved. If you do not see that message, it means that your registration was not completed. If you need assistance, don't hesitate to contact our HelpDesk Contact Azuleon Meetings.

All fields marked with a red asterisk in the form below are mandatory. If this same form reloads after submission, one or more fields have not been correctly filled in; the fields that require attention will be highlighted in red.

Part A: Personal Data
*First name(s): 
Middle initial(s): 
 
*Surname: 
Date of birth:

In the selection pop-up, select month and year before clicking the day.

Gender: 
 
*Citizenship: 
 

*Affiliation: 
In the Affiliation field, include both Dept and Univ. (or company name or hospital)
e.g., Dept Biomedical Sciences, Univ. of Padua
*Address: 
Enter your affiliation's address, not your personal home address.
*City: 
 
*Postal Code: 
 
*Country: 
 
State/Province: 
 
Fax: 
 
*Telephone: 
 
*E-mail address: 
*I am: 
an invited speaker
a student (undergraduate or graduate)
a CSSI member
an academic from Latin America
a regular participant (academic)
a regular participant (corporate)
From the list on the left, please select the first option that applies to you. Please check the Information page for further details on the pricing structure.

Your supervisor will need to confirm that you are entitled to the reduced fee. Please provide your supervisor's name and e-mail address below. Pay particular attention to the e-mail address, as your supervisor will receive an automatic request.

*Name: 
*E-mail address: 
 
 
 
 

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