ABC6 - Advanced Breast Cancer, 4-6 November 2021

Personal Information

Data protection agreement (required)
Your agreement is required in order to process your registration. Your contact details are held in a secure manner for the purposes of ABC5 Conference administration.

Please indicate YES to proceed with your registration*

* Mandatory fields

(Please create a Username and a Password so you can later add more rooms to your initial booking)

I agree to the information on this form being stored in an electronic format by Abreu Events for the purposes of ABC5 Conference administration. *

Data for Billing Receipt/Invoice Copy Data

The following information is going to be printed in the receipt/invoice. This information cannot be changed after the receipt has been issued. Please verify if all the details are correct.

Name or Company *

Address *

Postal Code *

City *

Country *

VAT Number *

VAT Number: If not applicable, for Portugal insert: 999999990, for other countries insert: 000000000.

Accommodation Reservation

Prices per Room and Night with Breakfast Included

CONSULT HERE THE HOTELS LOCATION IN GOOGLE MAPS

Price per Night

Guest Name *

Checkin *

Checkout *

Total Price

Holiday Inn Continental **** (152)

Single Room

€ 110.00

Double Room

€ 120.00

Payment

Value

Bank transfer

The bank transfer must be made to the account number mentioned below, free of charge to the recipient:

Bank Address: Banco BPI
Rua Tenente Valadim, 284
4100-476 Porto, Portugal

Payee: VIAGENS ABREU, SA
VAT Number: 500 297 177

Bank Account: 6-1292463.000.001
IBAN: PT50 0010 0000 1292 4630 0013 1
Swift/BIC: BBPIPTPL

Credit Card

Card Number

Name

Expires on

Code (the last 3 digits on the back of the credit card)

Credit Card Issued in USA / Canada / Australia
(You will be contacted with the details for the payment within the next 48h)

Comments

Personal Information

Data for Billing Receipt/Invoice Copy Data

Accommodation Reservation

Services Summary

Payment

REGISTRATION FORM

Online Registration Closed.