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TNT2014 registration Form
Barcelona (Spain) October 27 - 31, 2014
Registration Form FLAG-ERA NETWORKING EVENT
Gender (*)  Male  Female   Title (*)  Mr./ Mrs./ Ms  Dr./ Professor.
First Name (*)     Last Name (*)  
Institution/Dep. (*)     Address (*)  
City (*)     ZIP Code (*)  
Country (*)     Phone (*)  
Fax (*)     E-mail (*)  
VAT (*)     Book format  Digital  
TNT 2014 Fees
FLAG-ERA Networking Event (Free of charge)          
Graphene Day     125 Euros    
TNT 2014 Conference Fee (5 days)     505 Euros    
 
(*) Mandatory fields
(†) Justification signed by your PhD Adviser should be sent by e-mail (info@tntconf.org)
Additional Info
Arrival Date:   October 2014            Departure Date   October 2014
Accompanying Person Name  
(restricted access - not participating in conference or exhibition)
Do you submit a contribution?             Vegetarian? 
P A Y M E N T (*)

(*) For Credit Card payment, a 3,5% (bank charges) will be applied.
1) Bank transfer to the order of "Fundacion Phantoms" must bear the mention "FREE OF CHARGE TO THE RECEIVER" and must indicate TNT2014 Conference and LAST and FIRST NAME of the participant to facilitate identification and to the following bank account:

    CaixaBank SA, Calle Ibiza 64, 28009 Madrid (Spain)
    BIC (Bank Identifier Code): CAIXESBBXXX
    IBAN (International Bank Account Number): ES55 2100 6441 5122 0002 0128
    Phantoms Foundation VAT Number: ES G83352724

PLEASE, SEND BY E-MAIL (info@tntconf.org) A COPY OF YOUR BANK TRANSFER MAKING CLEAR THE NAME OF PARTICIPANTS TO TNT2014 CONFERENCE.
ALL BANK CHARGES SHOULD BE PAID BY THE APPLICANTS.
2) Credit card  [ VISA - MasterCard ]

 
     
           
 
 
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