Participant details












* Compulsory Fields


Registration


Early Registration ends February 28, 2014



Late Registration starts March 1, 2014



Conference Dinner


NOTE:
If you are a student please send us a proof by e-mail: madalena.almeida@abreu.pt


Accompanying Person




Early Registration ends February 28, 2014


Late Registration starts March 1, 2014


Conference Dinner for the Accompanying Person



receipt




 (If not applicable, insert your country code followed by zeros, e.g.: PT-000000000)




NOTE:
The following address information is going to be printed in the receipt.
This information cannot be changed after the receipt has been issued. Please edit the information below if it is not accurate.


Payment



Credit Card




/ (mm/yy) (Security Code 3 last digits on the back of the card)


Bank Transfer

In this case, please send us a copy of the Bank Transfer Slip
E-Mail: malmeida.lisboa@abreu.pt
Fax: +351 21 415 63 83

To: Viagens Abreu, S.A.
Bank Name: Millenniumbcp Banco Comercial Português, S.A.
Bank Address:
Dcc - Direcao Corporate - Sul
Avenida José Malhoa, 27 / Piso 7,
1099 - 010 Lisboa, Portugal
Account: 0000000000231320
SWIFT – BCOMPTPL
IBAN – PT50 0033 0000 00000231320 83
NIB – 0033 0000 00000231320 83

To Confirm and submit your registration, please follow the guidelines carefully.

1. "Send" to confirm and submit your registration
2. Or, in case you prefer, just "Print" this page and fax it to:

Please notice that the email confirmation is not sent automatically and can take more than one day.

Viagens Abreu - Madalena Almeida
Av. 25 de Abril 2 - Edifício Abreu
2799-556 Linda-a-Velha - Portugal
Departamento de Congressos
Fax: + 351 21 415 63 83