Surname

Name

Affiliation 

Address 

City

Postal Code

Country 

Telephone 

Fax

E-mail

Choose your congress registration

seniors - 85 eur seniors with dinner - 125 eur juniors - 35 eur juniros with dinner - 75 eur

To complete your registration please make a bank transfer with the selected amount to this account
la caixa- 2100 3642 13 2200092236
IBAN: ES69 2100 3642 1322 0009 2236
SWIFT: caixesbb
and send a copy of the bank slip to
logos@pcb.ub.es