Registration Form
 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.:
E-mail:
Repeat E-mail:
Institutional affiliation - Department Company:
Title (Dr/Prof/Student/Other):
Terms:
 
I have read and accept the legal terms of the form
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 conference (or by email for the on-line modality registration)-
Institution/Company Name:
Institution/Company Address:
Zipcode:
City/Town:
Province / State / Country:
VAT Number:
Please, you should complete the Identity Document or the VAT Number for your invoice.

 REGISTRATION
    UTC + 1
   
Until March 20th, 2021
After March 20th, 2021
Normal
390,00 $
490,00 $
Normal (on-line)
150,00 $
190,00 $
IEEE/ ACM members
310,00 $
390,00 $
IEEE/ ACM members (on-line)
120,00 $
150,00 $
Students
190,00 $
230,00 $
Students (on-line)
  90,00 $
120,00 $
  Additional contributions
175,00 $
175,00 $
  Additional contributions (on-line)
  90,00 $
  90,00 $
  Additional page (4 pages max.)
  75,00 $
  75,00 $

- The on-site registration fees include coffees and lunches.
- Students must provide proof of their status with a copy of their student card (send it to: registrationssctic@ccm-events.com). The document has to be presented when collecting the documentation.

The first and second contributions are included with the registration, the cost of additional contributions is 175$/90$


I DO NOT SUBMIT ANY CONTRIBUTION


 CONTRIBUTIONS
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: $75 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: $75 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: $75 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: $75 for each additional page
CONTRIBUTION  
Id:
Nº Additional Pages (1, 2, 3 or 4)
Title: $75 for each additional page

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

 HOW TO PAY
Bank Transfer

Bank transfer for CONFERENCE 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: SSCTIC2021 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: registrationssctic@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:
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