REGISTER TO THE

SPACE RENAISSANCE INTERNATIONAL

ONLINE CONGRESS

Name and Family Name(*):
Email(*):
Country(*):
My Skype name(*):
Please note that the conference will take place on skype. Therefore you can't participate without a skype connection. Download skype for free here: www.skype.com
Organization:
I will attend the following congress modules:	June 25th    June 26th    July 9th      July 10th
I will also register as a member of the Space Renaissance International:
(*)mandatory fields
	By clicking on the SEND button, I accept that my data will be kept by the Space Renaissance Initiative, according to the Italian law on privacy (L.675/96), only for the purpose of this initiative, the Space Renaissance Forum.

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