REGISTRATION FORM

 

PERSONAL DATA
Fields marked with an asterisk are required

First Name/Name*
  Last Name/Surname/Family Name*
Affiliation*
 
Professional address*
ZIP/Post Code*
  City*
State/Province
  Country*
Phone number with country code*
 
E-mail address*
 

Special food needs

Remarks /questions

 

BILLING DATA

To fill ONLY if an invoice is requested. The corresponding invoice will be sent by e-mail.

 

Institution/Organization/Company (or Full Name if the invoice must be issued to yourself)
VAT Identification Number
 
Address
  Post code
City
  State/Province
Country
 

 

REGISTRATION FEES (VAT 21% included)

 

  Categories

Until 12th May

From 13th May

CONGRESS REGISTRATION
Author registration*
Mandatory to register before 31st March
450,00 €
Student Author registration**
Mandatory to register before 31st March
375,00 €
General registration 450,00 € 525,00 €
Student registration** 375,00 €
Accompanying person***
including lunches, all social events and gala dinner
200,00 €
Children accompanying person***
including lunches, all social events and gala dinner
100,00 €
Accompanying person***
including all social events and gala dinner
150,00 €
Children accompanying person***
including all social events and gala dinner
75,00 €
Gala dinner extra ticket 75,00 €
Children Gala dinner extra ticket 30,00 €

 

* Authors of accepted papers must register before the established deadline; their payment must be received by this date. One author registration will guarantee the publication of at most one accepted paper. If the same author presents a second paper, a supplementary publication fee of 225 EUR is due.

 

** If you are a STUDENT, please enclose a copy of your current course enrolment (only PDF file) here.

 

 

***Fee for accompanying persons excludes the copy of proceedings and coffee breaks.

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

 

OTHER CONFERENCE FEES
Additional paper pages
over the 10-page limit, maximum 2. Rate per page.
75,00 €
Additional papers
maximum one extra paper associated to a single registration
225,00 €

 

Color pages: please contact organizers

 


The Congress registration fee includes:

  • Attendance to all sessions, the conference banquet, a copy of the proceedings, daily lunches, coffee breaks and social events.


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: CaixaBank
Bank address: Sao Paulo 6 – 08030 Barcelona
Account name: Activa Congresos - WSOM2019
Account number: ES08 2100 5633 2902 0009 9671
BIC/SWIFT code: CAIXESBBXXX
(The participant's name must be stated on the bank transfer)
Any bank charges must be paid by the sender. This guarantees that we will receive your payment in full

 

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.

 

 

 

CONDITIONS AND CANCELLATION POLICY

 

No refund will be made for registered Authors. If a cancellation (only for non-authors) is received by June 1st 2019, the conference secretariat will retain a cancellation fee of 200 EUR. Cancellations received after this date will not be entitled to a refund.

The conference organization is not liable if a participant cannot attend the conference due to unforeseen circumstances, such as visa refusal, natural forces, strike or force majeure. The registration fee cannot be reimbursed in these cases.

It is agreed that the WSOM+ organizing committee and the WSOM+ secretariat, and their agents and officers, reserve the right to cancel at any time any, or all, of the programmed or other activities if this should appear necessary as a result of events which are beyond their control or which they cannot reasonably be expected to influence or for which they are not responsible. Without limiting the generality of the foregoing, such events shall include force majeure, government or other official regulations, natural disasters, strikes of any kind whatsoever, civil, international or other crises, or any other unforeseen occurrence. Decisions regarding the necessity for such cancellation shall be taken by the conference secretariat, or their agents, at their sole discretion and shall be final.

The WSOM+ organizing committee reserves the right to refuse admission to the conference, or participation in any other WSOM+ activities to any delegate who is considered by the WSOM+ organizing committee to be a security risk and/or a disruptive influence on the orderly conduct of all aspects of the conference. All refund and name changes requests must be received in writing by email to: olga@activacongresos.com

 

 

TOTAL TO BE PAID: 0

 

 

Activa Congresos - Technical Secretariat
Phone +34 933 238 573
E-mail: olga@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 WSOM 2019.

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