Travel Form

I, (name)

(surname)

(sex: )

arriving

at:  Palermo Punta Raisi Airport Trapani Birgi Airport

at (time) flight no. from

I need a transport

I have the following special personal request

I shall leave on (date) from:

I need a transport

 Palermo Punta Raisi Airport Trapani Birgi Airport

at (time) flight no. to


If for any reason I have to cancel my participation I will inform the Conference Scientific Secretary as soon as possible by e-mail in order to allow another candidate to participate.