ENTRY FORM

VERNADOC CAMP

03-17 Jenuary 2019

Monteprandone - Italy

To be completed no later than 31 October 2018 and in any case up to 15 registrations

NAME  SURNAME  __________________________________

COUNTRY OF ORIGIN  ___________________________________

PREVIOUS EXPERIENCE ___________________________________________________

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ACADEMIC TITLE LIST __________________________________________

E-MAIL _______________________________________

PARTICULAR DIET ___________________________________________

Participation in the VERNADOC CAMP is open to all and does not include registration fees.