Home

Name
Surname
Gender	Male Female --		DNI / Passport
Address
Province		City					Postal Code
Country
Telephone			Email
Professional activity
University / Institution
Do you submit a paper?		-- Yes No		Title
Abstract
Registration fee		-- Option 1 A Option 1 B Option 2 A Option 2 B	Registered and paid by April, 30th Included: 4 Coffee-breaks + 1 lunch + Proceedings CD				Ordinary fee			160 €	Option 1 A
							Phd and Master Students			80 €	Option 1 B
			Registered and paid AFTER April, 30th Included: 4 Coffee-breaks + 1 lunch + Proceedings CD				Ordinary fee			200 €	Option 2 A
							Phd and Master Students			120 €	Option 2 B
Visit to the Sanctuary of Loreto (Convent, museum…) and Conference dinner. Bus included. By May, 17th										40 €	-- Yes No
PAYMENT BY BANK TRANSFER
I.B.A.N.: IBAN ES50 0049 6711 9121 9047 2660 SWIFT / BIC: BSCHESMMXXX Send a copy of the bank receipt by e-mail to profidentidad@us.es. Please indicate in Subject field: "Registration to the Conference_SURNAME, NAME"