Registration form

DELEGATE INFORMATION

Title

First Name (*)

Last Name (*)

Organization (*)

Address

Zip Code

City

Country (*)

Email (*)

Phone (*)

(including country and area codes)

REGISTRATION FEES

Fees cover (for all participants): Conference attendance, information material, proceedings e-book, lunches, coffee breaks and social events. If you wish to bring additional accompanying guests to the gala dinner or excursion, please fill in the appropiate box below.

Those participants whose communications have been accepted (oral or poster) must pay the registration fees before 8th May 2016.

Participants Fees

ECMI member late: 480€ before 1st June 2016 Non ECMI member late: 540€ before 1st June 2016 Student late(**): 410€ before 1st June 2016
One Pass Day(***): 225€

(**) Student fee will apply only for Ph. D. and Master students.
(***) Presentations are not allowed with the One day pass fee.

If you have chosen a Non ECMI member fee (early or late) you are entitled to two years free membership of ECMI (usually this costs 70 euro)

I accept two years free membership to ECMI

Indicate here the number of accompanying guests for the gala dinner (the cost is 70€ per person)

Indicate here the number of accompanying guests for the excursion (the cost is 45€ per person)

Indicate here the number of accompanying guests for the hike in the Pilgrim's Way to Santiago (the cost is 35€ per person)

STUDENT PROOF

Signed and stamped letter from your PhD advisor or a certificate from your Institution confirming your status

A student proof in PDF is compulsory in order to apply for a student fee.

CAMPUS HOUSING (~~ONLY FOR STUDENTS~~ FOR ALL PARTICIPANTS) CLOSED

Fill in only in the case you want to book accommodation at the University Halls. Prices are per room per night and include taxes and breakfast in the residence cafeterias. Rooms are available from 11th to 18th, June (both included).
Once your room has been confirmed, you will have to upload the bank transfer receipt for accommodation through your private link.

ID / Passport number

Single/Double room

Single (Student rate) 25€ Double (Student rate) 43€ Single (Normal rate) 35€ Double (Normal rate) 62€

Arrival day (dd)

Please introduce only two digits for the day. Do not include the month nor the year.

Departure day (dd)

Please introduce only two digits for the day. Do not include the month nor the year.

In the case of double room, I want to share the room with:

Accompanying guest Another student participant. In this case please indicate his/her full name below

Full name

PAYMENT

Please make a bank transfer to:

Banco Santander Central Hispano (BSCH)
SWIFT code: BSCHESMM
IBAN code: ES40 0049 2584 90 2214002210
(Bank Code: 0049, Counter Code: 2584, Key: 90, Account Number: 2214002210)
Bank Account Holder: Universidade de Santiago de Compostela-Congresos.
Addresss of the bank: Rúa Calderería, 54/56, 15703 Santiago de Compostela, Spain.
Address of the bank account holder: Casa da Balconada, Rúa Nova 6, 15782 Santiago de Compostela, Spain.
[CIF: Q1518001-A / EUROPEAN VAT NUMBER: ES Q1518001-A]

Please, mention in the bank order "ECMI 2016 conference" and the full name of the participant. Payments should be made in Euros. Possible transfer fees are on your charge.
You can upload the bank transfer now or through the private link that will be emailed to you after the registration.

Bank Transfer Proof

A bank transfer proof in PDF is a necessary condition for a valid registration.

INVOICE REQUEST

When requesting an invoice, please indicate the name, address and Tax Reference Number of the organisation which will be paying the invoice or your passport number in case you are the one paying the invoice. If the bank transfer is ordered by a natural person it will not be possible to issue an invoice to a company or organization.

REGISTRATION INVOICE: If requested please fill in the information below

Name of the person or organization which demands the invoice

Address

Tax Reference Number

This field is mandatory. For personal invoices either your personal tax refererence number or your passport number is valid.

CAMPUS HOUSING INVOICE: If requested please fill in the information below

Name of the person or organization which demands the invoice

Address

Tax Reference Number

DATA PROTECTION POLICY

Personal data collected will be incorporated and treated in the management file of cultural activities, the purpose of which is the organisation of conferences and scientific meetings, projects and cultural activities, management of cultural projects: diffusion and dissemination of cultural activities through print publications, web, radio and television etc. This data will not be shared with the exception of what is covered by the law. The body responsible for the file is the Vice-chancellor for Students, Culture and Social Responsibility, and the address where the person concerned can exercise his rights of access, rectification, cancellation and opposition is Casa Jimena y Elisa Fernández de la Vega, Rúa Casas Reales, 8, 15782 Santiago de Compostela. All the above is reported in accordance with article 5 of Law 15/1999, December 13th, Protection of Personal Data.

Data transferred to ECMI

I give my permission to transfer my personal data to ECMI for future scientific events

Forget your private link? Click here to have it emailed to you.

ECMI2016

Registration form

The 19th European Conference on Mathematics for Industry