REGISTRATION FORM

8th INTERNATIONAL CONFERENCE ON CHILDREN'S HEALTH AND THE ENVIRONMENT

 

14th-16th September 2016
Barcelona, Spain

 

PERSONAL DATA
Fields marked with an asterisk are required

Title*
 
Name*
  Surname*
Affiliation/Institution*
 
Full address*
ZIP/Post Code*
  City*
Country*
 
Phone number with country code*
 
E-mail address*
 

Special food needs (intolerances, vegetarian) / Remarks:

                                  

BILLING DATA

To fill ONLY if an invoice is requested.
A receipt will be sent to all registrants together with the registration confirmation.
.

 

Institution (Or First Name and Surname if the invoice must be issued to yourself)
VAT Identification Number
 
Address
  Post code
City
  Country

 

REGISTRATION FEES (VAT 21% included)

 

REGULAR REGISTRATION FEE

350,00 €

STUDENT REGISTRATION FEE*

120,00 €

CONFERENCE DINNER
Number of tickets

50,00 €

 


* Student registration. Certification of student status will be required for online registration. If you are a STUDENT, please enclose a copy of your student ID (only PDF file) here.

 

 


The registration fee includes access to the conference, coffee breaks and lunches.


Places are assigned strictly in accordance with order of payment. Your registration will only be accepted after payment has been received.

 

 

PAYMENT METHOD

Bank transfer

Bank name: Caixa d’Estalvis i Pensions de Barcelona “la Caixa”
Bank address: Sao Paulo 6 – 08030 Barcelona
Account name: Activa Congresos
Account numer: IBAN ES15 2100 5633 2802 0007 2919
BIC/SWIFT code: CAIXESBBXXX
(The participant's name must be stated on the bank transfer)

 

Credit Card


Please note that cards accepted are VISA & MASTERCARD.

Once you submit this registration form, you will be automatically redirected to the online payment system.

 

 

 

CANCELLATIONS

 

Cancellations must be made in writing to Activa Congresos. The corresponding refunds will be made after the Congress celebration.

 

Applicable conditions are:
For cancellations received by 1st July, any money you have paid will be refunded, less 50€ administration charge.
Thereafter no refunds can be made for cancellations or failure to attend. Substitutions may be made at any time, but please inform Activa Congresos in writing

 

TOTAL TO BE PAID: 0

 

 

Activa Congresos
Passeig de l’Havana, 11-13, A1, 2º  2ª
08030 Barcelona 
Spain
Phone +34 933 238 573
E-mail: inches2016@activacongresos.com


ACTIVA CONGRESOS, S.L informs you that all your personal data collected by the fulfillment of this document will be stored in an automated processing file of our property registered in the General Record Department of the Spanish Data Protection Agency. All your personal data will be processed with the maximum confidentiality, according to the Privacy and Security Policy of this company, and with total compliance to the Personal Data Protection Law 15/1999, of 13 December. The purpose of this data treatment is to manage your registration for the 8th INTERNATIONAL CONFERENCE ON CHILDREN'S HEALTH AND THE ENVIRONMENT.

By the fulfillment of this document, you allow us to store your personal data for an automated and documentary treatment as expressed above. We also inform to you, as owner of the personal data, that you can exercise your rights to opposition, access, rectification and cancellation of your personal data, sending your request with an ID copy at the following address: ACTIVA CONGRESOS, S.L. Pg. de l’Havana, 11-13, A1, 2º 2ª, 08030 Barcelona. You can also exercise such rights by sending an e-mail to the following address: contacto@activacongresos.com