Registration Form
 ONLY FOR ALREADY REGISTERED USER
When you register you will receive a registration code and a password that should be used if you wish to register an accompanying person in the future
Complete the following fields and click COMPLETE DATA to register an accompanying person associated to a registered user.
Registration Code
Password:
 PERSONAL DATA
Mr. Ms.
First Name:
Family Name:
Identity document:
Number:
Nationality:
Date of birth:
Format: dd/mm/yy
Personal Address:
Zipcode:
City/Town:
Province / State / Country:
Tel.:
Fax:
E-mail:
Repeat E-mail:
Institutional affiliation - Department Company:
Title (Dr/Prof/Student):
Terms:
Required fields
INVOICE DETAILS (if different than the above)
Initially the invoice will be fill in with the information provided in this registration form. If you need any change in your invoice, please use the box below:
-The official invoice will be provided directly in the congress-
Institution/Company Name:
Institution/Company Address:
Zipcode:
City/Town:
Province / State / Country:
Tel.:
Fax:
E-mail:
VAT Number:
Please, you should complete the Identity Document or the VAT Number for your invoice.

 REGISTRATION
    UTC + 1
   
Before April 5th 12th, 2019
After April 5th 12th, 2019
Standard(**)
515,00 €
585,00 €
Postgraduate Students(**) (****) (full conference fees)
425,00 €
515,00 €
IEEE/ AEPIA members(**)
425,00 €
515,00 €
Programme Committee
395,00 €
475,00 €
Postgraduate Students(***) (****) (without dinners)
395,00 €
475,00 €
Accompanying person(*)
285,00 €
285,00 €
  Seconds contributions.
175,00 €
175,00 €
  Additional page (4 pages max.). (*****)
100,00 €
100,00 €
(*) Reduced rates are mainly applicable to accompanying persons (includes lunches, coffee breaks and social programme).
(**) The Standard, POSTGRADUATE STUDENTS (Full conference fees), AEPIA/IEEE members registrations include lunches and dinners.
(***) The POSTGRADUATE STUDENTS (Without dinners) registration includes lunches.
(****) Postgraduate students must provide proof of their status with a copy of their student card (send it to: registrationconference@ccm-events.com). The document has to be presented when collecting the documentation.
(*****) A charge of 100€ will be applied for each extra page (up to a maximum of 4 extra pages).

The first contribution is included with the registration, the cost of additional contributions in BLOCKCHAIN as well as in the collocated events (PAAMS, PACBB, DCAI, ISAmI, Mis4TEL, Decon) is 175€


I DO NOT SUBMIT ANY CONTRIBUTION


 BLOCKCHAIN (MAIN TRACK)
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page

 BLOCKCHAIN (DOCTORAL CONSORTIUM)
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: €100 for each additional page

 OTHER CONTRIBUTION TO COLLOCATED EVENTS

I DO NOT SUBMIT ANY CONTRIBUTION

CONTRIBUTION  
Id: Event:
Title:
Nº Additional Pages (1, 2, 3 or 4)
    €100 for each additional page
CONTRIBUTION  
Id: Event:
Title:
Nº Additional Pages (1, 2, 3 or 4)
    €100 for each additional page
CONTRIBUTION  
Id: Event:
Title:
Nº Additional Pages (1, 2, 3 or 4)
    €100 for each additional page
CONTRIBUTION  
Id: Event:
Title:
Nº Additional Pages (1, 2, 3 or 4)
    €100 for each additional page

 ADDITIONAL INFORMATION – Food intolerances
Vegetarian
Strict vegetarian
Celiac
No pork
Other

 HOW TO PAY
Bank Transfer

Bank transfer for CONGRESS FEES, payable to UNICAJA bank

Account Number: 2103 3241 5100 3704 2664
IBAN: ES89 2103 3241 5100 3704 2664
B.I.C. / Swift Code: UCJAES2MXXX
CONCEPT OF PAYMENT: BLOCKCHAIN NAME + LAST NAME
ISSUE EXPENSES: by the payer

Owner of the Account Number: (Technical Secretariat)
ABCWECTHOR INTERNATIONAL, S.L. (VAT Number: B-87461448)
Address: C/ Dalia, nº 40 - 1º D. CP. 28933 Móstoles (Madrid).

Send a copy of the transfer to this newsletter indicating the concept of payment by email to the mailbox: registrationconference@ccm-events.com


Only VISA or MasterCard Credit Cards
You will be transferred directly to the secure on-line payment (directly with the bank).
This process will be done through the secure area of the bank.
This is an automatic process. If you have any problem, please contact with your bank.


 VALIDATION
Validation Code:
Generar nuevo código
 
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