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Event Registration

Identification

Full Name:

Badge Name:

Gender:

Phone:

Email:

Affiliation:

Country:

	Congressman	PhD Student	Master's and undergraduate students
Full
Partial

Full Registration
	with reduction	without reduction
Participant (a)	450 €	550 €
PhD Students (a) (b)	350 €	450 €
Master's and undergraduate students (a) (b)	250 €	350 €

(a) registration includes participation in the Congress, book of abstracts, coffee breaks and lunches on the days of the congress sessions, excursions (one of the excursions includes entry to Parque Terra Nostra and bathing in a thermal pool), and congress dinner

(b) attach supporting documents

(c) registration only includes participation in the Congress abstract book, coffee breaks and lunches on the days of the congress sessions, excluding excursions and the congress dinner

Participation:

Number of abstracts:

Dietary Restrictions?

T-Shirt size:

Mobility Restrictions?

Do you need a receipt?

Receipt details

Name on receipt:

VAT Number:

Address:

Postal Code:

City:

Country:

Payment by bank transfer to the IBAN IBAN, SIWFT/BIC.

Partial Registration
	with reduction	without reduction
Participant (c)	350 €	450 €
PhD Students (b) (c)	250 €	350 €
Master's and undergraduate students (b) (c)	150 €	250 €