FASE Basic Workshop [1-5 September 2016 @ Coimbra, Portugal]

Registration Form
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    Payment Information*

    Workshop payment should be done by wire transfer to the following bank account: Account Name Centro de Estudos de Pós-Graduação em Medicina Legal Address Faculdade de Medicina da Universidade de Coimbra, Polo I, Rua Larga, 3004-504 Coimbra, Portugal Bank name Montepio Geral Bank Address Largo da Portagem, 43, 3000-337 Coimbra, Portugal Swift code/BIC: MPIOPTPL IBAN code: PT50003600339910058168688 *Your registration will only be considered valid after a payment being received. A wire transfer transcript/proof should be sent to cunhae@ci.uc.pt. In case there is a tax for the bank wire transfer, it should be covered by the sender only.