4ICMCTA Palmela 2014

    Captionless Image

    Registration form

    To register in 4ICMCTA please fill out the following form.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Receipt Information

    In case you would like different address information to be printed in the conference receipt, please fill out the following fields. This information cannot be changed after the receipt has been issued.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Paper Information

    If you have 4ICMCTA accepted paper(s), please fill out your paper(s) number(s), otherwise you will not be able to submit the final version of your paper(s).
    This is a required question

    Food restrictions

    This is a required question

    Conference registration

    After 20th July 2014
    Please enter one response per row

    Accompanying Person(s)

    This is a required question
    This is a required question
    This is a required question

    Cost Meeting

    A COST Meeting on Random Network Coding and Designs over GF(q) - IC1104 - is going to be held in the Castle of Palmela on 17-19 September 2014. If you wish to attend Cost Meeting and you are not a member of the Cost Action IC1104, please select the following item.
    This is a required question

    Free Shuttle Bus

    If you need transportation between Setúbal and Palmela Castle during the conference and/or meeting, please choose one of the following pick-up points.
    This is a required question

    Payment

    The payment will be made by bank transfer to: UNIVERSIDADE AVEIRO; · Fiscal Identification Number: 501461108 · Account number: 0836000022430 EUR · NIB 0035 0836 00000022430 30 · IBAN PT50 0035 0836 00000022430 30 --- BIC SWIFT CGDIPTPL When sending a bank transfer please send a remittance advice to the conference organisation via email at icmcta@ua.pt or by fax +351 234370066, mentioning your full name and the reference 4ICMCTA. All bank fee must be cover by the participants