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Registration form

Please download here the Registration form (PDF / DOC), fill and send back to the following email: ecwm7_registration@lnec.pt
or fill the following form.

Full registration*
*Until the 8th february 2014, € 400,00
*After the 8th february 2014, € 450,00

Student € 250,00*
*Students must send by mail/present a valid student card or equivalent
*Gala dinner not included

One day (10.03.2014) € 100,00*
*Lunch and Coffee Breaks included

 

Title:

First Name:

Surname: VAT NUMBER

Organization:

Address:

Position:

Zipcode: -

Country

Tel. Fax.

E-mail


Means of Payment:

Bank Transfer*
Bank transfer free of any charges (Charges may be deducted twice - one in the country of origin and a second time in Portugal)

  • Bank Transfer (Portugal)*
    NIB: 0018 0365 002000 10582 22
  • Bank Transfer (International)*
    IBAN: PT 50 0018 0365 002000 10582 22
    SWIFT code: TOTAPTPL
    (Santander Totta – Bank: Largo Frei Heitor Pinto 7-A/B – P-1700-204 LISBOA)
    Account holder: FUNDCIC

    • *Please send proof copy to ecwm7_registration@lnec.pt with the participant name

Credit Card*
*Please send the form with details by mail or by fax +351 218 443 014
Cards accepted: Visa / Master Card

Cheque*:

Cheque number

*Only for participants having a bank account in Portugal


INVOICE details:   

Name / Organization / Institution:

Address:

VAT NUMBER

Notes: