CONFIA'2019 :: REGISTRATION

* mandatory fields

Personal Data

First name*:

Last name*:

E-mail*:

VAT/tax number*:

Name for the badge*:

Institution/ Company*:

Address Line 1*:

Address Line 2:

City*:

Zip (Postal Code)*:

Country*:

Phone:

Paper Information

Title of Paper:

Registration Type

Type*:

Receipt issuance information

Info for the issuance of receipt is different from the info above:

Additional Information

Official Dinner:

Notes: Refund and Cancellation requests must be received in writing before May 15. There is a € 100 service charge for refunds on registrations. Bank taxes must be paid by the participants. Otherwise, the amount will be charged at the registration desk. Additional info: secretariat_confia@ipca.pt

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Special needs:

[ Registration form ]

Personal Data

Paper Information

Registration Type

Receipt issuance information

Additional Information