The Future of Digital Memory
and Cultural Heritage

International conference

FLORENCE
Palazzo Vecchio
Teatro della Pergola

16 - 17 October 2003

REGISTRATION FORM

name 	.........…………………………………………………………………………………..

date & birthplace	........……………..……………………………………………………..

nationality 	.......…..…………….……………………………………………………………

address 	........…………………………………………………………………………………..

	........…......................………………………………………………………………………………..

phone & fax 	…............………………………………………………………………………..

e-mail 	........…………………..…………………………………………………………………..

institution 	.......…………................................……………………………………………

........…......................………………………………………………………………………………..

Please fill and send back within September 30th, 2003 to
Laura Manetti, Istituto e Museo di Storia della Scienza
e-mail		laura@imss.fi.it
fax		+39 055 2653130