Minerva Workshop
Digitisation: what to do and how to do it
Roma, Bibliocom, 29 October 2003
Palazzo dei Congressi (free entrance)		

REGISTRATION FORM

Please return WITHIN OCTOBER 15th ,2003
to the fax number +39 06 6723499 
or e-mail to: minerva2@beniculturali.it 
(subject: Registration to Minerva Workshop at Bibliocom 2003)

You must fill in this coupon for the entrance to the Minerva Workshop. 

Registrations will be accepted until place availability.

Important: Filling in the form you can collect the information materials 
(until its exhaustion) and the badge for the entrance to the halls at the reception desk. 

First name___________________________________________________________________

Last name___________________________________________________________________

Company/Institution___________________________________________________________

Address____________________________ Postcode_________________________________

Town/City____________________________  Country _______________________________

Telephone (Country dialling code + number)________________________________________

fax (Country dialling code + number) _____________________________________________

e-mail ______________________________________________________________________

profession _____________________________________
		(please specify)

How did you get information on this Workshop?

|_| Minerva Website |_| Press |_| other ___________________________________________
		 		                       (please specify)

Date______________Signature   ___________________________ 

Information and consent according to the law 31-12-1996, no. 675 “Protection of persons and other subjects with regard to treatment of personal information”

According to the above law we wish to inform you that the information contained in the registration form will be used by Minerva for statistical purposes, for the current registration, for the emission of a personal badge and for the sending of information about similar events.

Date______________Signature   ___________________________