Registration form FortMed2020
Email address *
Important notes
This form must be completed in all its parts according to the following dates:
Until Saturday, 15/01/2020 – for early registration
From 16/01/2020 to 25/03/2020 – for late registration

The deadline for registration and payment of fee in order to have the paper published in the book of proceedings is Saturday, 01/02/2020.

Please, notice that each paper must have at least one paying author.
Bank transfer details
Account holder: Adara Comunicación
Bank name: Bankia S.A
IBAN: ES92.2038.3037.6860.0054.0444
BIC: CAHMESMMXXX
Payment description: NAME & SURNAME - FORTMED2020

Please, notice that each paper must have at least one paying author.
Full name *
Your answer
Affiliation (University, SME, Research centre)
Your answer
Paper’s Title *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Personal ID number *
Ej. DNI, Codice Fiscale, NINO, SPI
Your answer
VAT Number
Your answer
Complete street address *
Your answer
Registration as *
Registration includes: Attendance to the conference sessions - Guided tour on Friday 27th March 2020 - Conference proceedings book - Certificate of participation - Coffee breaks on the 26th, 27th and 28th, and lunches on the 26th and 27th March
Register also author of an additional paper to be published
Gala dinner *
On the 26th of March. Price: 60€. Specify special requirements in Other
Guided visits on Friday 27th March 2020 *
The Alcazaba of the Alhambra is fully booked
Additional remarks and special requirements
Subject to availability
Your answer
A copy of your responses will be emailed to the address you provided.
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