CLASTA Conference Subscription Form – non members

    I would like to register for the CLASTA Web Conference of the 13th and 14th May 2022.

    EMPLOYMENT
    LecturerResearch managerResearcherProfessorFellowAssistantPhD StudentPost doc studentPsychologistSpeech and language therapistPhysiotherapistNeuropsychologistPediatricianDoctors specialized in child and adolescent neuropsychiatryPhoniatrics and otorhinolaryngologyOther (please specify)

    DESCRIPTION
    Universities and Research institutesPublic health institutionsClinical practiceOther (please specify)

    AFFILIATION AND WORKING PLACE (location/institution, address and telephone number)

    REGISTRATION TYPOLOGY
    non member lecturer or professional: € 60Other non members (students, PhD Students, Post doc students, free lance): € 30

    PAYMENT NOTICE: data - date - account in the name of - CRO (if possible)

    NORMATIVA PRIVACY (For further information click here)

    By submitting this form I agree to the processing of personal data in accordance with Law no. 196/2003