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  REGISTRATION
NanoBio&Med 2016 Conference
Barcelona (Spain) 22 - 24 November, 2016

Registration Form


Gender(*)   Male  Female
Title(*)
First Name(*)
Last Name(*)
Institution/Dept.(*)
Address(*)
City(*)
ZIP Code(*)
Country(*)
Phone(*)
Fax
E-Mail(*)
VAT Number 
Doctoral Student (*)(a)
Type of participation (*)
   


NanoBio&Med Conference Fees

Participants
 
 
Before October 19
 
After October 19
 
Senior
350 Euros
450 Euros
Student (a)
250 Euros
350 Euros
One Day Ticket (b)
140 Euros
170 Euros
Accompanying person
90 Euros
120 Euros
 

Exhibition Fee       
 
Before October 14
   
   After October 14
   
(Stand 2X2 m2 - Space rental)
1050 Euros
 
       1250 Euros
 
(Stand 2X2 m2)
1350 Euros
 
       1675 Euros
 
(Stand 3X2 m2)
1650 Euros
 
       1975 Euros
 
(Stand 4X2 m2)
1950 Euros
 
       2350 Euros
 
(Stand 4X3 m2)
2350 Euros
 
       2875 Euros
 
 

  (*)  Mandatory fields
  (a)  Justification signed by your PhD Adviser should be sent by e-mail (info@nanobiomedconf.com)
  (b)  Does not apply to attendees with oral or poster contributions

Additional Info
Arrival Date:            Departure Date   

Vegetarian?  


P A Y M E N T
Invoices will be sent on behalf of a legal person (university or company) without VAT (except Spain). If an invoice is requested by a natural person, the VAT should be added.

(*) For Credit Card payment, a 2% (bank costs) will be applied.
1) Bank transfer to the order of "Fundacion PHANTOMS" must bear the mention "FREE OF CHARGE TO THE RECEIVER" and must indicate NanoBio&Med016 Conference and LAST and FIRST NAME of the participant to facilitate identification and to the following bank account:

    CaixaBank SA, Calle Ibiza 64, 28009 Madrid (Spain)
    BIC (Bank Identifier Code): CAIXESBBXXX
    IBAN (International Bank Account Number): ES55 2100 6441 5122 0002 0128
    Phantoms Foundation VAT Number: ES G83352724

PLEASE, SEND BY email (info@nanobiomedconf.com) A COPY OF YOUR BANK TRANSFER MAKING CLEAR THE NAME OF PARTICIPANTS TO NanoBio&Med016 CONFERENCE.
ALL BANK CHARGES SHOULD BE PAID BY THE APPLICANTS.
2) Credit card  [ VISA - MasterCard ]


To validate the Registration Form, please write the following code:
 
 



CANCELLATION OF CONFERENCE PARTICIPATION
All cancellations should be made in writing by e-mail to Dr. Antonio Correia.
Your payment less 50 Euros will be reimbursed, if a cancellation is received before September 30, 2016
50% of the registration fee payment will be reimbursed, if a cancellation is received between October 01 and October 14, 2016
No reimbursement will be made after October 14, 2016


INSURANCE
The Organisation Committee will not be responsible for any medical expenses, lost property, or accidents during the NanoBio&Med2016 Conference and we strongly recommend that participants make all necessary insurance arrangements for themselves.

 
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