if you need an invoice addressed to a different subject (department, university or other institution) please check "Yes" and fill in the following section
1,2 - Researcher document required to certify the status (more info here) .
3- IUPAC Members and Fellows.
4 - According to List A and B of World Health Organization, Hinari.
I hereby authorize A.I.C. srl to charge on my credit card
insert month and year expiration date
CVV code: last 3 numbers behind your credit card
Bank transfer addressed to: Asti Incentives & Congressi srl
c/o Monte dei Paschi di Siena, Ag. 1 Pisa
C/C IBAN IT95D0103014000000002084433
Swift/Bic Code: PASCITMMPIS
Reference: CSI-EMSLIBS + name and surname
Please send a copy of bank transfer to email@example.com
I hereby authorize A.I.C srl to the treatment of my personal data for all the aims related to the above mentioned congress and according to the law D.Lgs. 196/2003