Conference Registration Personal Information Title Dr.Prof.Mr.Mrs.Ms. First Name * Last Name * Position / Job Title * Institution * Faculty / School / Centre / Department * Address * City / State * Zip / Postal Code * Country * Email * Phone * VAT * Conference Information Up to 15th April 2018 After 15th April 2018 Full Delegate 450€ 600€ Student Delegate 250€ 300€ Publication Fee 200€ 250€ Type of Registration * Full DelegateStudent DelegatePublication Fee Extra papers presentation? Has a cost of 75 Euros each Dietary Preference for Conference Vegetarian Total ammount: 0€ Registration reference: Invoice Type of Registration * IndividualCompany/Institution Name * Address * Postal Code * City * Country * VAT * Payment Method Please insert the Transfer Reference on the Payment description. Seats are confirmed only upon receipt of payment. Extended abstracts will be published only upon receipt of payment. Payment should be made by wire transfer to: Bank Name: Banco Santander Totta S.A. Account name/receiver: Sciencentris Unipessoal Lda Adress: Avenida Bento Freitas nº 678 - 3ºDto 4480-656 Vila do Conde, Portugal VAT : PT513185909 NIB: 0018 000340810053020 24 IBAN: PT50 0018 000340810053020 24 SWIFT code: TOTAPTPL Please make sure you prepay your local bank fees when making the payment. Bank receipt must be sent by email attachment to firstname.lastname@example.org.