IEEE ICDL-EPIROB 2017

Personal Information

* Mandatory fields

Title

Name *

Institution

Address

Postal Code

City

Country *

Phone

Fax

Email *

Username *

Password *

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

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.

Institution *

Address *

Postal Code *

City *

Country *

VAT Number *

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

Informations

Paper(s) ID *

Please insert here you Paper(s) ID separated by a comma. If not applicable please insert "0".

Payment

Value

Bank transfer

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

Online Registration Closed.

Personal Information

Data for Billing Receipt/Invoice Copy Data

Informations

Services Summary

Payment