Behave 2016

Personal Information

* Mandatory fields

Title

Name *

Institution *

Email *

Phone

Fax

Address *

Postal Code *

City *

Country *

Username *

Password *

(Please create a Username and a Password so you can later edit your booking)

Department

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 *

Address *

Postal Code *

City *

Country *

VAT Number *

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

Informations

Dietary Requirements

Paper Author *

Paper Title *

If you are not a Paper Author, please insert 0 in the field "Paper Title".

Accommodation Reservation

Prices per Room and Night with Buffet Breakfast Included.

BEHAVE 2016 HOTELS: CONSULT HERE THE HOTELS DESCRIPTION

Price per Night

Guest Name *

Checkin *

Checkout *

Total Price

Hotel D. Luis

Single Room

€ 54.00

Double Room

€ 58.00

Payment

Value

Bank transfer

Untitled 1

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

Bank Address: Millennium BCP
Av. Prof. Dr. Cavaco Silva (Tagus Park)
Edifício 2/Piso 0 b
2477-002 Porto Salvo, Portugal

Payee: VIAGENS ABREU, SA
VAT Number: 500297177

Bank account: 0000000000231320
IBAN: PT50 0033 0000 00000231320 83
NIB: 0033 0000 00000231320 83
Swift: BCOMPTPL

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

Registration Form

Registrations Closed

Personal Information

Data for Billing Receipt/Invoice Copy Data

Informations

Accommodation Reservation

Services Summary

Payment