Enrolment Form for Residing Out of Italy TitleDoctorProfessorMrMrsName* Surname* Email* Enter email Confirm email Office Telephone Number* Mobile Phone* Fax Number Invoice/Receipt Ownership* Address* Street/square and house number second line for address Location State/Province/Region ZIP code/Postal code AfghanistanAlbaniaAlgeriaAndorraAngolaAnguillaAntartideAntigua e BarbudaArabia SauditaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelgioBelizeBeninBermudaBhutanBielorussiaBirmaniaBoliviaBonaire, Sint Eustatius e SabaBosnia-ErzegovinaBotswanaBrasileBrunei DarussalamBulgariaBurkina FasoBurundiCambogiaCamerunCanadaCapo VerdeChadCileCinaCiproColombiaComoreCongo, Repubblica Democratica delCongo, Repubblica delCorea del NordCorea del SudCosta RicaCosta d'AvorioCroaziaCubaCuraçaoDanimarcaDominicaEcuadorEgittoEl SalvadorEmirati Arabi UnitiEritreaEstoniaEswatini (Swaziland)EtiopiaFijiFilippineFinlandiaFranciaGabonGambiaGeorgiaGeorgia del SudGermaniaGhanaGiamaicaGiapponeGibilterraGibutiGiordaniaGreciaGrenadaGroenlandiaGuadalupaGuamGuatemalaGuernseyGuiana FranceseGuineaGuinea EquatorialeGuinea-BissauGuyanaHaitiHondurasHong KongIndiaIndonesiaIranIraqIrlandaIslandaIsola di BouvetIsola di ManIsola di NataleIsola di Saint BarthélemyIsola di Sant'ElenaIsole AlandIsole CaymanIsole CocosIsole CookIsole FalklandIsole FaroeIsole Heard e McDonaldIsole Marianne SettentrionaliIsole MarshallIsole NorfolkIsole Saint Pierre e MiquelonIsole SalomoneIsole Svalbard e Jan MayenIsole Turks e CaicosIsole Vergini britannicheIsole minori esterne degli Stati Uniti d'AmericaIsole vergini americaneIsraeleItaliaKazakistanKenyaKirghizistanKiribatiKuwaitLaosLesothoLettoniaLibanoLiberiaLibiaLiechtensteinLituaniaLussemburgoMacaoMacedoniaMadagascarMagliaMalawiMaldiveMalesiaMaliMaltaMaroccoMartinicaMauritaniaMauritiusMayotteMessicoMicronesiaMoldaviaMonacoMongoliaMontenegroMontserratMozambicoNamibiaNauruNepalNicaraguaNigerNigeriaNiueNorvegiaNuova CaledoniaNuova ZelandaOmanPaesi BassiPakistanPalauPanamaPapua Nuova GuineaParaguayPeruPitcairnPoloniaPolynesia FrancesePorto RicoPortogalloQatarRegno UnitoRepubblica CecaRepubblica CentrafricanaRepubblica DominicanaRiunione (Isola della)RomaniaRuandaRussiaSahara OccidentaleSaint Kitts e NevisSaint Vincent e GrenadineSaint-MartinSamoaSamoa americaneSan MarinoSanta LuciaSao Tome e PríncipeSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSiriaSlovacchiaSloveniaSomaliaSpagnaSri LankaStati UnitiStato della PalestinaSudafricaSudanSudan del SudSurinameSveziaSvizzeraTagikistanTaiwanTanzaniaTerritori Meridionali Francesi Territorio Britannico nell'Oceano IndianoThailandiaTimor EstTogoTokelauTongaTrinidad e TobagoTunisiaTurchiaTurkmenistanTuvaluUcrainaUgandaUngheriaUruguayUzbekistanVanuatuVaticano (Santa Sede)VenezuelaVietnamWallis e FutunaYemenZambiaZimbabwe Country Place of Birth* Date of Birth* MM slash GG slash AAAA Fiscal Code VAT Number SIE 2022 MEMBERSHIP FEES (Please flag the selected fee - VAT free)*NO EARLY REGISTRATION (later than 15th October) - You can attend the Congress by either paying the Congress enrolment fee or becoming a SIE member. Pre-Congress Course not automatically included. GRADUATES RESIDING OUT OF ITALY Price: 325,00 € Pre-Congress Optional POSTGRADUATE STUDENTS Price:200,00 € Pre-Congress Optional STUDENTS RESIDING OUT OF ITALY Price: 100,00 € Pre-Congress Optional SIE 2022 MEMBERSHIP FEES (Please flag the selected fee - VAT free)*EARLY REGISTRATION (BY 30TH JUNE) - You can attend the Congress by either paying the Congress enrolment fee or becoming a SIE member. Pre-Congress Course not automatically included. GRADUATES RESIDING OUT OF ITALY Price: 300,00 € Pre-Congress Optional POSTGRADUATE STUDENTS Price:180,00 € Pre-Congress Optional STUDENTS RESIDING OUT OF ITALY Price: 70,00 € Pre-Congress Optional Would you like to enrol also for the Pre-Congress Course?* Yes No Pre-Congress Course Enrolment Fee For Graduates residing out of Italy Prezzo: EARLY REGISTRATION (by 15th October) 0,00 € / NO EARLY REGISTRATION (later than 15th October) 60,00 € VAT IncludedPre-Congress Course Enrolment Fee For Graduates residing out of Italy Prezzo: EARLY REGISTRATION (by 15th October) 0,00 € / NO EARLY REGISTRATION (later than 15th October) 60,00 € VAT IncludedPre-Congress Course Enrolment Fee for Postgraduate students Prezzo: EARLY REGISTRATION (by 15th October) 0,00 € / NO EARLY REGISTRATION (later than 15th October) 60,00 € VAT IncludedPre-Congress Course Enrolment Fee for Postgraduate students Prezzo: EARLY REGISTRATION (by 15th October) 0,00 € / NO EARLY REGISTRATION (later than 15th October) 60,00 € VAT IncludedPre-Congress Course Enrolment Fee for Students residing out of Italy Prezzo: EARLY REGISTRATION (by 15th October) 0,00 € / NO EARLY REGISTRATION (later than 15th October) 60,00 € VAT IncludedPre-Congress Course Enrolment Fee for Students residing out of Italy Prezzo: EARLY REGISTRATION (by 15th October) 0,00 € / NO EARLY REGISTRATION (later than 15th October) 60,00 € VAT IncludedTotal 0,00 € Payment Method*Choose your preferred payment method Online (PayPal/Credit Card) Bank Transfer If you choose to pay Online You will be redirected to PayPal site to make a 100% secure payment. Once the payment is done, you will receive a Receipt via email. No further actions will be required.If you choose to pay via bank Transfer You'll need to send us via email your payment receipt along with the order number. Detailed instructions will be sent to your email address VISA SUPPORT LETTER REQUEST Should you need a Visa Support Letter stating your enrolment in the SIE International Congress, please write an email to segreteria.sie@me.com. Please report your full name and surname, passport number, nationality (those data will be displayed within the letter) and any specific additional request. We inform that our Secretariat cannot deal with any Visa issue procedure; please contact your Embassy or qualified agencies in order to get specific pieces of information and assistance.PhoneQuesto campo serve per la convalida e dovrebbe essere lasciato inalterato.