After filling out the form, click the print botton at the bottom of the page.
Credits for participants: 1.5 ECTS
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* Campos de preenchimento
obrigatório
Title *
Registration as: *
Affiliation *
Name *
Address *
Postal Code *
City *
Country *
Telephone *
Mobile Phone *
Fax
E-mail *
The receipt will contain the following data:
Name *
VAT number *
Address *
Postal Code *
Country
Registration / Participation
Before April 22th
After April 22th
Regular
€100
€150
Student
€20
€20
Warning: Due to a limited number a seats, the incomming order of the inscriptions will be considered. To validate your participation, please check with the Secretariat at the scene.
Payment | Cheque | Bank Transfer
· The Cheque sould be issued to the order of Instituto de Ciências Biomédicas Abel Salazar (ICBAS) and sent to the secretariat with printed registration form.
Cheque Nº
Bank
· For Bank Transfers, please send the proof of payment with printed aplication form to the address below.
NIB:
003502060000003993048
IBAN:
PT50003502060000003993048
BIC:
CGDIPTPL
Secretariado Porto International Symposium - Antonieta Correia
Rua do Campo Alegre, 823, 4150-180 Porto - Portugal
Tel. +351 226 074 900
Fax: +351 226 099 157
E-Mail: acorreia@ibmc.up.pt
