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Workshop Registration Form for IWXM

4th international workshop on Metrology for X-ray Optics, Mirror Design, and Fabrication

* Name:
* Surname:
* DNI/Passport
* E-mail:
* Phone number:
* Institution:
* Address:
* Country:
Expected arrival: : Clear date field
Expected departure: : Clear date field
* # People:
Your comments:
Information:
Price: 250.0
Payment can be made by bank transfer through IBAN/SWIFT codes onto the following "la Caixa" bank account:
Bank: La Caixa
Account Number: 0200232704
IBAN: ES89-2100-0424-3802-0023-2704
SWIFT: CAIXESBBXXX
Domiciliation: OF. 0424 EDIFICI A. CAMPUS UAB. E-08193 BELLATERRA, BARCELONA (SPAIN)
Account Holder: CELLS-CONGRESSOS
Conference Name: IWXM
Currency to be sent: EURO (EUR)
IMPORTANT NOTE: Please when ordering the bank transfer, remember to select the option "our" within the payment method:
SHA  
...
 
OUR  
X
(All bank transfer expenses paid by the attendent)
BEN  
...
 
Please, make sure you mention:
- your name in the transfer comments
- the conference name " WORKSHOP NAME "
CELLS will not pay any bank transfer expenses. All of them are in charge of attendent.
Please, select whether you need or not an invoice for this payment:
Yes No
I confirm I read and understood the aforementioned conditions.