Spanish ALMA days – Magna Congresos

FIRST NAME *
FAMILY NAME *
EMAIL *
CONTACT PHONE
INSTITUTION *
COUNTRY *
Level of Knowledge *
Which is your level of knowledge in ALMA and/or INTERFEROMETRYBeginnerIntermediateExpert
POSTER *
Please indicate if you will send a posterYesNo

Conference fee includes attendance, coffee breaks and working lunch.
REGISTRATION
Conference dinner *
Will you attend the conference dinner?YesNo
Food restrictions Please indicate if you have any allergy or food restrintion we should take into account

Choose Payment method * Payments by credit card will be increased a 1% fee
Bank Transfer Payable to MAGNA CONGRESOS S.L.
(CAJASIETE) IBAN: ES76 3076 0620 1026 3701 9726 BIC/SWIFT: BCOEESMM076
Bank charges are the responsability of the participant and should be paid at source in addition to the fees.
Please make sure the participants name is stated on the bank transfer.
Registration will be confirmed once the payment is settled.
Visa / Mastercard A 1% commission will be applied for payments made with credit card
Once you submit the form, you will be directed to the payment platform to complete it

Company / Name
Tax id Number
Address
Zip Code - Town
Privacy In compliance with Organic Law 3/2018 and Regulation (EU) 2016/679 on the Protection of Personal Data and guarantee of Digital Rights, we inform you that your email address is part of the MAGNA CONGRESOS database, S.L., with the sole purpose of managing contact and relationship with you or the company you represent regarding your participation at the conference