Pre-Registration + Abstract Submission
Pre- Registration
Registration and abstract submission as: *
Day Registration*
Full Name *
Your answer
Title (Ms, Mrs, Mr, Prof, Dr., ...) *
Your answer
Professional Rank *
Your answer
Organization *
Your answer
City *
Your answer
Country *
Your answer
Phone Number *
Your answer
E-mail *
Your answer
Opening Ceremony & Reception cocktail (5th July 2017 - 19h00)
Reception Cocktail which is included in the registration fee, must also be marked, in order to obtain a ticket. Tickets are limited. Please tick this box to register for the Reception cocktail on the 5th July 2017 at the Exterior Auditorium - Champalimaud Foundation
I am attending the Opening Ceremony and Reception Cocktail *
Conference Dinner (7th July - Cascais - 19h30)
If you wish to attend the Conference Dinner (7th July) in the beautiful city of Cascais, please tick the box - Cost/person 35,00€
Conference Dinner *
Abstract Submission
Theme *
Title *
Your answer
First Author (Surname, Name) *
Your answer
Affiliation *
Your answer
Other Authors (Surname, Name; Surname, Name...)
Your answer
Presenting Author *
Your answer
Submitting Author email *
Your answer
*
ABSTRACT *
Your answer
Observations *
Your answer
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