PAYMENT

Registration/ Payment form (for an abridged Word form, please click HERE)

Please return this form to the Conference Secretariat by mail or fax +351 21 844 30 14.

Mail address:

Please note that the confirmation of registration can only be issued after receipt of payment.

1. Participant information

Title: ________
Name: ____________________________ First Name:__________________________

Organization (if any): _____________________________________________________

Street address:_________________________________________________________

City and postal/ zip code: _________________________________________________

Country: ________________________

Contact: phone:_______________________; e-mail:_____________________________

2. Symposium fees

All Participants:
- Early registration (before 2008/4/6)     200.00
- Late registration (after 2008/4/6)     250.00

Students (must present an university card or certificate valid for 2008):
- Early registration (before 2008/4/6)     150.00
- Late registration (after 2008/4/6)     200.00

3. Payment

Accepted payment methods:

• Bank transfer
• Credit card
• Cheque

Bank transfers must be free of bank charges to the organizer.

• Transfers within Portugal
  NIB: 001803650020001058222

• Transfers from abroad
  IBAN: PT 50 001803650020001058222
  SWIFT code: TOTAPTPL
  (Santander Bank Portugal - Largo Frei Heitor Pinto, 7-A/B - P-1700-204 Lisbon
  Account holder: FUNDCIC

To insure traceability of payments, please mention "ARTECH" and your last name in the transfer information and attach proof of transfer to the registration form.

Credit card payments

• Visa or Mastercard

Please indicate:

Name of Cardholder:__________________________

Credit card number:___________________________

Expiration date: _____

Safety code (last 3 digits on the signature area on the back of your card): _ _ _

Date and authorised signature:____________________________________

• American Express

Please indicate:

Name of Cardholder:__________________________

Credit card number:___________________________

Expiration date: _____

Safety code (4 digits on the front of your card above the card number): _ _ _ _

Date and authorised signature:____________________________________

Cheque payments (only for participants having a bank account in Portugal)

Fazer o cheque pagável ao FUNDCIC e enviá-lo ao:

Juntar ficha de inscrição mencionando o Banco e o número do cheque, para assegurar a rastreabilidade do pagamento.