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After filling in this form, please transfer your conference fee into the following bank account
(ES32 0049 6720 1624 9513 8465) indicating as concept "Name/Surname COMPLEXVLC16 Registration". Payment must be made before 31 May 2016.
* Indicates required question
Name
*
Your answer
Surname
*
Your answer
E-mail
*
Your answer
Affiliation
*
Your answer
Tax ID Number
(required for an invoice)
Your answer
Address
(required for an invoice)
Your answer
City
(required for an invoice)
Your answer
Zip code
(required for an invoice)
Your answer
Country
(required for an invoice)
Your answer
Type of participation
*
In-person
Virtual participation
Tenured / Not Tenured
*
Tenured
Not Tenured
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