SEPLN 2000

Surname:          

Name:             

NIF:              

Organization:     

Address:          

ZIP code:          

City:             

State or Province:

Country:          

Phone:             

Fax:              

E-mail:           

Fields surname, NIF and e-mail are mandatory. If you do not have a NIF number, you can indicate a passport number or a number corresponding to an identification document in your country.

Registration fees

After July 14 (SEPLN members): 15.000 spanish pesetas.

After July 14 (non members): 20.000 spanish pesetas.

After July 14 (students): 7.000 spanish pesetas.

Payment

Beneficiary   : congreso SEPLN 2000 (código 095)
Bank          : Caixavigo (O. P.)
Bank address  : c/ García Barbón, 1
                36201 - Vigo
                Pontevedra (SPAIN)
Account number: 2080 0000 74 0040225994  

• The name of the conference and the code 095 are clerly legible
• Your own name and NIF (or passport number) is clearly legible in order to ensure that your payment will be correctly registered.
• Your payment includes any banking or other fees so that the organisation of SEPLN 2000 receives the correct amount in Spanish Pesetas.
• In order to apply the early registration rate, your registration and payments should be received by July 14.
• Students must include a photocopy of their student identification or a note from their department verifying student status

You can also pay at the registration desk, by cheque or cash. Regretably, credit cards are not accepted.

To send electronically this registration form press « Submit » button.

Please send as soon as possible a copy of the transfer receipt. You can send a fax to the Secretaría SEPLN 2000, fax number +34 988 387001 or send it by surface mail to the following address:

        Secretaría SEPLN 2000
        Escuela Superior de Ingeniería Informática
        Campus As Lagoas, s/n
        32004 Ourense
        España

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