Registration form

How to register

The registration fee for the Workshop has been fixed in 60 euros. In order to register you must:

Pay the registration fee. For this, you have two options:
- Order a bank transfer specifying that it is a payment of the registration fee for the Workshop. The details depend on your country:
  - If you do it from Portugal, you just need the NIB: 003508170000418703018
  - If you do it from outside Portugal, you must use the account number (in Portugal it is called IBAN) PT50003508170000418703018 (you may also need the bank code CGDIPTPL). The transmitter must prepay all costs related with the transfer. The complete data for the transfer are as follows:
    - Bank: Caixa Geral de Depositos (CGD)
    - Agency : Universidade de Coimbra
    - Payee : Faculdade de Ciências e Tecnologia da Universidade de Coimbra
    - IBAN: PT50003508170000418703018 (for international bank transfers this item represents the account, containing the code of the country, the bank and the account number).
    - SWIFT code: CGDIPTPL
- If you pay from Portugal, you can also send us a cheque to be paid to "F.C.T.U.C". Our address is:
  Encontro de Geometría e Física
  Departamento de Matemática
  Universidade de Coimbra
  Apartado 3008
  3001-454 Coimbra
Then, please fill and submit the on-line registration form below

Registration form

Personal data

Family name:

First name:

e-mail address:

Fax number:

Institution

Institution:

Address:

Administrative

I need a receipt: Yes. No.

addressed to (Name or Institution, if no name is provided here the receipt will be addressed to the institution you provide above) :

with VAT number

Contributions

Contributions can be sent either by using this form or by sending an email to geomfis@mat.uc.pt. Please remember that in BOTH cases the deadline is May 15 . Note that you must provide the title and abstract if you select Yes now:

I plan to send a contribution: Yes. No.

Title:

Abstract:

Lodging

Hotel (1st Choice): Type of room:

Hotel(2nd Choice): Type of room

Hotel (3rd Choice): Type of room:

Arrival Day: Departure Day: Number of nights:

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