Conference Delegate Registration Form

First Name* Last Name*
Organization*
Address*
City Province (State)
P.Code/Zip Country*
Telephone Fax 

email*

Is this the infomation for the receipt?

No

Yes    

If you require another information for the receipt type it here    (name for the receipt, address and fiscal number)

Registration Fees:

  Before 18 of December, 2017 After 18 of December, 2017

Conference Registration

Only one additional presentation is allowed per registration.         Submission code(s)
Vegetarian meals required    Yes
Already included in the Regular registration: Book of Abstracts; soft copy of the Proceedings (USB stick); one ticket for the Social Event.

EXTRAS :

Book of Proceedings             book(s) x Eur   60.     
Social Event       social event(s) x Euro   65
Cancellations:
Conference registration cancellations must be sent to the Conference Secretariat prior to February 16th, 2018 and will be charged a fee (€ 180) per registration. NO REFUND will be granted after this date or for no-show.
Address: InPACT
Rua Tomás Ribeiro, 45, 1 Dto  
1050-225 Lisbon, Portugal email: secretariat@inpact-psychologyconference.org