:: Registration and accommodation::
::
 HOW TO REGISTER
::

1.- Fill the following form (the information provided – vat number excepted – will be included in the list of participants in the Congress unless you do not explicitly state your disapproval)

I would prefer not to appear in the participants list.

TITLE: Mr. Mrs. MSc. Dr. Professor, Other:

FAMILY NAME:

FIRST  NAME:

MAILING ADDRESS:

POSTAL CODE:

CITY:

COUNTRY:

FAX:

E-MAIL:

VAT NUMER (for invoice):

2.- Please, select your status

STATUS: Full participant Student Accompaying person Other:

REGISTRATION FEES

UNTIL APRIL 30 ST

AFTER MAY 1ST

FULL PARTICIPANT

225 €

250 €

STUDENT (1)

100 €

250 €

ACCOMPANYING PERSON

100 €

100€

FAREWELL BANQUET

60 €

60 €

 
 Grants

(1) Very important.

If you are registering as a student enclose, please, name and signature of your supervisor

Supervisor΄s name:
Signature :



3.- Are you going to take part at the farewell banquet ?

NO
YES, Number of persons

4.- The total amount is : 

Registration fee ( according to your statuts ) €
Farewell banquet ( 60 € x number of persons ) €
 

TOTAL AMOUNT

€

 

5.- FORM OF PAYMENT:

CREDIT CARD:

Visa

Diners Club

Master Card

El Corte Inglés Card American Express

I authorize Viajes El Corte Inglés  to charge my credit card the amount of  euros.

Cardholder

Credit Card number

Expiration Date

SIGNATURE

 

BANK TRANSFER :

I enclose a copy of Bank transfer for the amount of  euros to the account of VIAJES EL CORTE INGLES in BANK : BSCH, Plaza Canalejas, 1  - 28014 MADRID

ACCOUNT NUMBER: 
0049-1500-06-2510011350 (For Spain)
IBAN ES04 0182-3994-07-0000664047 SWIFT BBVA ESMMXXXX (Outside Spain)

6 . Please, print this form and send it by fax or mail (see below). You will receive a confirmation e-mail as soon as possible. Do not forget, please, to enclose :

  • Name and signature of your supervisor if your status is "student"
  • A copy of your bank transfer if you are using this way of payment.

Fax Number : 00 34.985.241657

Postal address : Viajes El Corte Inglés, Plaza de La Gesta 3, 1º Izda.,
                       E-33007 Oviedo-SPAIN
::
  
::

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