Welcome,

Fill out the form to register.

Contact details/information

Name*:

Surname*:

Company*:

>Date of birth(dd/mm/yyyy)*:

Place of birth*:

ID number (necessary for your accommodation):

Address*:

Phone*:

E-mail - (for confirmation and communication)*:

How to reach us* (choose one of the following options below):

 
 Do you want receive photos and video realized during the event?
 
Please click here for acceptance
 Swimsuit is required
 For the night of the 10th November dressing up is recommended - black tie

Please communicate allergies or dietary needs for your safety:

Further notes:

All fields marked with an asterisk (*) are required.

Filling the form above you give consent to the use of your personal information, by Belchim Crop Protection Italia S.p.A. for the management and organization of the event.

Welcome,

Fill out the form to register.

Contact details/information

Name*:

Surname*:

Company*:

>Date of birth(dd/mm/yyyy)*:

Place of birth*:

ID number (necessary for your accommodation):

Address*:

Phone*:

E-mail - (for confirmation and communication)*:

How to reach us* (choose one of the following options below):

 
 Do you want receive photos and video realized during the event?
 
Please click here for acceptance
 Swimsuit is required
 For the night of the 10th November dressing up is recommended - black tie

Please communicate allergies or dietary needs for your safety:

Further notes:

All fields marked with an asterisk (*) are required.

Filling the form above you give consent to the use of your personal information, by Belchim Crop Protection Italia S.p.A. for the management and organization of the event.