Title* (required)
MrMrsMsProf.Doct.

Family Name* (required)

First Name* (required)

Organization Name* (required)

Position* (required)

Country* (required)

Cell Phone +* (required)

Your Email* (required)

Web-site

I'm traveling with a companion: YesNo
If Yes please advise first and last name

Travel & Accommodation

The participation to the Conference is free of charge, if you need additional travel services please fill inn below information, we will send the best offer available. If you have a special request, please contact EWB directly at: info[@]europewithoutbarriers.eu / Tel : +39 010 2713823.

I need a transfer: YesNo.
If Yes please advise details:

Arrival Date

Arrival City (in case of arrival by airplane, train or bus)

Arrival Time

Return Date

Return Time

Additional Information

I need accommodation: YesNo
If Yes please advise period:

Check in:

Check out:

Meals: Bed & BreakfastHalf Board

Specific needs related to accessibility:

General Comments / Dietery Requirements:

Personal information (name, address, email, etc.) is intended only for the express purpose of organizing the event. This information may, therefore, be disseminated electronically or on paper and conferred to other participants in the interest of facilitating communication and networking among them. Please advise your preference about sharing information. I authorize to share my Personal Information*: YesNo