SMODIA2015: REGISTRATION FORM

14-16 Sept 2015, Valencia, Spain

Personal data

Individual attendance: please provide your ID number.

Special dietary requirements, food allergies, etc..

Registration fees

Note: Late Registration Fee (after July, 31 2015)

Gala Dinner (50€ per person)

Total amount: --€

Method of payment

Note: Your registration is considered as confirmed ONLY when registration fees (total remittance) are deposited. Your registration will be acknowledge by e-mail confirming your requirements given in your registration form.

Note: An additional fee of 10€ will be charged when paying with credit card.

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