&21*5(662 ,17(51$=,21$/( 08/7,6$/$ 6&,9$&
GraямБca A&D Studio /CR
┬Г
6(66,21, /,%(5( *LXOLDQR 5DYDVLR 0HG 9HW %HUJDPR
3DWUL]LD 6LFD 0HG 9HW 0LODQR
5(/$725, '(//( 0DUWD $YDQ]L 0HG 9HW &DVWHOIUDQFR 9HQHWR 79
6WHIDQR GL 3DOPD 0HG 9HW ',SO (&93 &KLRJJLD 9(
$QGUHD %RDUL 0HG 9HW 7HUDPR
*LRYDQQL *KLEDXGR 0HG 9HW ,
%DUWRORPHR %RUJDUHOOR 0HG 9HW 7RULQR
)HGHULFR /HRQH 0HG 9HW ,
9LQFHQ]R 5RQGHOOL 0HG 9HW 1RYDUD
9DQHVVD 7XULQHOOL 0HG 9HW 'U 5LF 'LSO (&9&3 %RORJQD
*LDFRPR 5RVVL 0HG 9HW 'U 5LF &DPHULQR
/XLJL 9HQFR 0HG 9HW 6&3$ 'LSO (93& 3DYLD
)HGHULFD 5RVVL 0HG 9HW 'LSO (&9', %RORJQD
$OGR 9H]]RQL 0HG 9HW 6&03$ 'LSO (&96 &UHPRQD
5REHUWR %XVVDGRUL 0HG 9HW 0LODQR
&KLDUD 1ROL 0HG 9HW 'LSO (&9' 3HYHUDJQR &1
3DROR 5RWD 6SHUWL 3┬┐]HU %XVLQHVV &RQVXOWDQW
$QGUHD =DWHOOL 0HG 9HW 5HJJLR (PLOLD
)UDQFHVFD %XVVL 0HG 9HW 7RULQR
7LP 1XWWDOO %6F %96F 3K' &HUW9' &%LRO 0,%LRO 05&96 8.
5DLPRQGR &RODQJHOL 0HG 9HW &RPSRUWDPHQWDOLVWD 5RPD
*DHWDQR 2OLYD 0HG 9HW 'U 5LF 1DSROL
/XLVD &RUQHJOLDQL 0HG 9HW 'LSO (&9' 0LODQR
*UD]LDQR 3HQJR 0HG 9HW &UHPRQD
0RQLFD &XWULJQHOOL 0HG 9HW 'U 5LF 1DSROL
%UXQR 3HLURQH 0HG 9HW 'U 5LF 7RULQR
&DUOR 'H )HR 0HG 9HW 3HUXJLD
'LGLHU 3LQ 0HG 9HW 'U 5LF 1DSROL
in collaborazione con
┬Г
&21*5(662 ,17(51$=,21$/( 08/7,6$/$ 6&,9$& via Trecchi, 20 - 26100 Cremona tel 0372 460440 fax 0372 457091 www.scivac.it info@scivac.it www.scivacrimini.it
5LPLQL *LXJQR 1XRYR &HQWUR &RQJUHVVL ZZZ VFLYDFULPLQL LW
✃
6(66,21, /,%(5(
/D FODVVL¿ FD]LRQH XI¿ FLDOH GHOOD GLVSODVLD GHOO¶DQFD H GHOOD GLVSODVLD GHO JRPLWR QHO FDQH GL UD]]D ) 5RVVL ,
,O 5HQDO QHOOD WHUDSLD GHOOD &.' QXRYH SURVSHWWLYH WHUDSHXWLFKH $ =DWHOOL ,
Per poter partecipare ai lavori delle SESSIONI LIBERE non è necessaria una pre-iscrizione, ci si deve presentare direttamente alla RECEPTION CONGRESSUALE al DESK SESSIONI LIBERE, consegnare questa scheda, debitamente compilata, per ricevere il Badge che darà il libero accesso alle Sale delle SESSIONI LIBERE e all’AREA ESPOSITIVA del 73° Congresso Internazionale Multisala SCIVAC
3HUFKp VFHJOLHUH OD ULSURGX]LRQH VHOH]LRQDWD (1&, GHO FDQH GL UD]]D $ 9H]]RQL ,
3DXVD
73° Congresso Internazionale Multisala SCIVAC
/¶XVR GHOOD &LFORVSRULQD QHOOH GHUPDWLWL DOOHUJLFKH GHO JDWWR & 1ROL ,
5,0,1, *LXJQR
9(1(5'Ì *,8*12 6$/$ '(/ 7(03,2
/D JHVWLRQH GHO FOLHQWH GHOO¶DPEXODWRULR YHWHULQDULR 3 5RWD 6SHUWL ,
3DXVD
&KDLUPDQ &KLDUD %UDFKHOHQWH ,O ODERUDWRULR GL SDWRORJLD SHU LO FOLQLFR FLWRORJLD LVWRORJLD H LPPXQRLVWRFKLPLFD &DVL FOLQLFL HVSOLFDWLYL SHU LPSRVWDUH XQ LWHU GLDJQRVWLFR FRUUHWWR 9 7XULQHOOL , 6 'L 3DOPD ,
3DXVD
,O SXQWR VXOOD SDWRJHQHVL GHOOD GHUPDWLWH DWRSLFD GHO FDQH H VWUDWHJLH WHUDSHXWLFKH & 1ROL ,
6$/$ '(/ 7(03,2
/¶XVR GL =LQFRVHE VKDPSRR QHOOD GHUPDWLWH VHERUURLFD H QHOOH LQIH]LRQL VHFRQGDULH GD 0DODVVH]LD * *KLEDXGR ,
/¶DOLPHQWD]LRQH TXDOH PH]]R GLDJQRVWLFR H WHUDSHXWLFR QHOOH HQWHURSDWLH FURQLFKH GHO FDQH H GHO JDWWR $ %RDUL , 3UREOHPL JDVWURHQWHULFL GHO FDQH H GHO JDWWR QHOOD SUDWLFD DPEXODWRULDOH FDVL FOLQLFL & 'H )HR ,
3DXVD
/HLVKPDQLRVL H DOWUH &9%' L FDVL FOLQLFL GLYHQWDQR JLRFR GL VTXDGUD * 2OLYD ,
/¶XVR GL (UPLGUj VSUD\ LGUDWDQWH SHU OD QRUPDOL]]D]LRQH GHL GLIHWWL GHOOD EDUULHUD HSLGHUPLFD SURWHWWLYD ' 3LQ ) /¶XVR GL 6RORVWHUROR ¿ WRVWHUROL H DFLGL JUDVVL HVVHQ]LDOL LQ FRUVR GL GHUPDWLWH DWRSLFD GHO FDQH & 1ROL ,
6$%$72 *,8*12 6$/$ '(/ 7(03,2
&KDLUPDQ )HGHULFR /HRQH 8WLOL]]R UHVSRQVDELOH GHJOL DQWLELRWLFL LQ SLRGHUPD 5HVSRQVLEOH DQWLPLFURELDO XVH LQ S\RGHUPD 7 1XWWDOO 8.
7UDWWDPHQWR GHOOD GHUPDWLWH DWRSLFD IHOLQD 7UHDWPHQW RI IHOLQH DWRSLF GHUPDWLWLV 7 1XWWDOO 8.
3DXVD
3URYH GLDJQRVWLFKH DOLPHQWDUL QHO FDQH H QHO JDWWR )RRG WULDOV LQ GRJV DQG FDWV 7 1XWWDOO 8.
3DXVD
7HUDSLD DQWLELRWLFD LQ GHUPDWRORJLD H FHSSL PXOWL UHVLVWHQWL / &RUQHJOLDQL ,
2EHVLWj GLDEHWH H FDULFR JOLFHPLFR 0 &XWULJQHOOL ,
)RWRVHQVLELOLWj FXWDQHD / 9HQFR ,
$VSHWWL FOLQLFL GHOOH PDODWWLH IRWRLQGRWWH QHO FDQH H QHO JDWWR ) /HRQH ,
3DXVD
&KDLUPDQ 6WHIDQR %R /D PDODWWLD LQ¿ DPPDWRULD LQWHVWLQDOH ,%' GHO FDQH H GHO JDWWR QXRYL RUL]]RQWL GL WHUDSLD * 3HQJR ,
* 5RVVL ,
'20(1,&$ *,8*12 6$/$ '(/ 7(03,2
6KXQW SRUWRVLVWHPLFR RS]LRQL WHUDSHXWLFKH 5 %XVVDGRUL ,
0DQLIHVWD]LRQL DQVLRVH DG HVSUHVVLRQH JDVWUR HQWHULFKH 5 &RODQJHOL ,
3DXVD
2VWHRDUWURVL QHO JDWWR XQD UHYLHZ % 3HLURQH ,
3DXVD
&KDLUPDQ )LOLSSR )HUUHUR )$16 LPSRUWDQ]D VSHVVR VRWWRYDOXWDWD * 5DYDVLR ,
³9HFFKLR H ]RSSR´ O¶DQDOJHVLD QHL SD]LHQWL JHULDWULFL RUWRSHGLFL 9 5RQGHOOL ,
3DXVD &KDLUPDQ 3DWUL]LD 6LFD /D À VLRWHUDSLD FRPH FDVH KLVWRU\ SHU SDUODUH GL FDVL FOLQLFL DOLPHQWD]LRQH H GLJLWDO PDUNHWLQJ &RPH SUHSDUDUH LO WXR SD]LHQWH SHU V¿ GH YLQFHQWL FDVL FOLQLFL GL ¿ VLRWHUDSLD ) %XVVL ,
&RPH SUHSDUDUH LO WXR SD]LHQWH SHU V¿ GH YLQFHQWL RELHWWLYL QXWUL]LRQDOL LQ FRUVR GL ULDELOLWD]LRQH PRWRULD H QRQ VROR 3 6LFD ,
3DXVD
&RPH SUHSDUDUH OD WXD VWUXWWXUD SHU V¿ GH YLQFHQWL LQWURGX]LRQH DO GLJLWDO PDUNHWLQJ DSSOLFDWR DOOD YHWHULQDULD % %RUJDUHOOR ,
6$/$ '(/ 7(03,2
3HUFKp XQD GLDJQRVL SUHFRFH GHOOD GLVSODVLD GHOO¶DQFD" $ 9H]]RQL ,
6$/$ '(/ 7(03,2
Rimini - 8/10 Giugno 2012 - Nuovo Centro Congressi
MODULO D’ISCRIZIONE SESSIONI LIBERE COGNOME: .................................................................................................
3DXVD
$SSURFFLR DO SD]LHQWH FRQLJOLR XQD QXRYD RSSRUWXQLWj SHU LO YHWHULQDULR SUDWLFR 0 $YDQ]L ,
3HUFKp XQD GLDJQRVL SUHFRFH GHOOD GLVSODVLD GHO JRPLWR" $ 9H]]RQL ,
NOME: .......................................................................................................... DATA DI NASCITA: ………….… ………….… ………….…
(gg/mm/aa)
CODICE FISCALE:
3DXVD
5HOD]LRQH WUD GLHWD VWDWR RVVLGDWLYR H SHVR LGHDOH GHO FDQH $ 3DVTXLQL ,
INDIRIZZO: .................................................................................................. CAP: ............................................................................ CITTÀ: ..........................................................................................................
3DXVD
TEL.: .............................................................................................................
,SHUVHQVLELOLWj DOOH SXOFL FRPH VSLHJDUH FRQYLQFHUH H RWWHQHUH XQD EXRQD FRPSOLDQFH GDO SURSULHWDULR * *KLEDXGR ,
FAX: ..............................................................................................................
3DXVD
'HUPDWR¿ WRVL GLDJQRVL H JHVWLRQH WHUDSHXWLFD * *KLEDXGR ,
6FLYDF ULQJUD]LD WXWWL JOL VSRQVRU SHU LO VRVWHJQR GDWR DOOD UHDOL]]D]LRQH GHO &RQJUHVVR ,QWHUQD]LRQDOH 0XOWLVDOD 6FLYDF
E-MAIL: ....................................................................................................... SOCIO SCIVAC
❐ SI
❐ NO
❐ Studente in Medicina Veterinaria ❐ Laureato in Medicina Veterinaria DATA: ........................................................................................................... FIRMA: ......................................................................................................... PRIVACY Ai sensi del decreto legislativo 30 giugno 2003, n. 196 (G.U. 29 luglio 2003, Serie generale n. 174, Supplemento ordinario n. 123/L), il sottoscritto acconsente al trattamento dei dati sopra indicati, consapevole che l’esecuzione dei servizi richiesti non può avere luogo senza le comunicazioni dei dati personali all’ANMVI e/o ai soggetti a cui la stessa deve rivolgersi.
FIRMA …………………...……...……...……...……...……...……...……...……...……...…