Toggle navigation Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Registration and Payment (This question is mandatory) E-mail (This question is mandatory) Title Please choose... Dr. Prof. Ms. Mrs. Mr. (This question is mandatory) First Name (This question is mandatory) Last Name (This question is mandatory) Affiliation (Institution) (This question is mandatory) Badge Name (This question is mandatory) Badge Affiliation (Institution) (This question is mandatory) Country Telephone Number Early Payment (This question is mandatory) Payment Category Standard 100 € (Before June 30) Standard 150 € (After June 30) Student 75 € (After June 30) Late and Onsite Registration 200 € (After October 1) (This question is mandatory) Conference Banquet: Opcional, banquet ticket (for self or accompanying persons) 50 € Yes No Vegetarian Menu (default is probably meat): Yes Information for receipt (This question is mandatory) Name (This question is mandatory) Address (This question is mandatory) VAT/NIF Number (This question is mandatory) How receipt is sent Receive receipt at the conference Receive receipt by email Registration Fees (in EUR) Before June 30, 2015 After June 30, 2015 After October 1, 2015 Standard Registration 100 € 150 € Students 75 € 75 € Late and Onsite Registration * - - 200 € * (This question is mandatory) Payment Bank transfer Credit card Account name: NOVA.ID.FCT Bank name: Millennium BCP Bank address: Rua Aurea, 130, Piso 3, 1100-063 Lisboa - Portugal IBAN: PT50 0033 0000 4545 3868 940 05 SWIFT CODE: BCOMPTPL (This question is mandatory) Name on the card (This question is mandatory) Type VISA MASTERCARD (This question is mandatory) Number (This question is mandatory) Expiry Date (mm/yy) (This question is mandatory) CVV - Security Code (last 3 digits on the back of the card) (This question is mandatory) Amount Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×