Payment instruction form

XXV Villa Mondragone International Economic Seminar
Payment instruction form
The Conference fee is 200 Euros for all participants.
The fee for PHD students is 50 Euros.
Payment instructions
BANK TRANSFERT TO:
Beneficiary Bank: Unicredit
The address of the bank is:
Unicredit RM.II Tor Vergata
Via Orazio Raimondo
00173
Roma (RM)
IT
The IBAN Number is: IT 77 I 02008 05168 000401084475
The Swift/BIC Number is: UNCRITM1B45
Please fill the following form with your personal information and send it together with a copy of
the bank transfer receipt to [email protected] .
PERSONAL DATA
NAME:
SURNAME:
HOME ADDRESS:
FISCAL CODE: