Please fill in the information of your membership:

Please make sure that you fill in your details for the fields marked *

IF YOU ARE REGISTERED AS AUTHOR DON'T FORGET TO FILL THE FIELD Author Username

Attendee Information:

• First name: *
• Last name: *
• Job Title: *
• Title (Mrs., Miss., Mr., Ms., Dr., Professor): *
• Company: *
• Address: *
• Postal code: *
• City: *
• Country: *
• Telephone: *
• Fax: *
• VAT Number:
• E-mail: *
• Author Username:
  (registered authors only)
• Password: *
• Repeat:

In compliance with that laid down in the Organic Law 15/1999, 13th December, concerning the Protection of Personal Data, we hereby inform you that completing this form means that your data will be included in and handled by an automatic database owned by the FUNDACIÓN INASMET. Said database has the purpose of being able to inform you about the conference and other activities of FUNDACIÓN INASMET. If you wish to exercise your rights to access, rectify, cancel or oppose the treatment of your data, please contact the Marketing Department of the FUNDACIÓN INASMET, CIF G-20580080, with registered offices at Parque Tecnológico, Paseo Mikeletegi 2, E-20009 San Sebastian, Spain.





• REGISTRATION FEES:

  *

CATEGORY	ADVANCE PRICE (Before July 1st)	LATE PRICE (After July 1st)	Includes
A Attendant	500 €	550 €	Conference Proceedings + Conference Programme + Coffee breaks + 3 Lunches + 2 Conference Dinners
B Student	400 €	400 €	Conference Proceedings + Conference Programme + Coffee breaks + 3 Lunches (Conference Dinners Excluded)
C Accompanying person	120 €	120 €	Only Conference Dinners (2)
D Extra ticket for dinner	60 €	60 €	1Ticket per dinner
E Extra copy of Proceedings	30 €	30 €	Proceedings

[+16%VAT Only for Spanish attendants]


• Please select the appropriate category.Attendant ADVANCE PRICE. Attendant LATE PRICE. Student ADVANCE PRICE. Student LATE PRICE. Accompanying person ADVANCE PRICE. Accompanying person LATE PRICE.


Please tick ( ) the appropriate boxes.
This is only for local organization
(Dinner/s are included in fees A, C and D)


• I will participate in the Conference dinner on Tuesday, September 11th, 2007.


• I will participate in the Conference dinner on Thursday, September 13th, 2007.


Please indicate the number of extra tickets for dinner:

Conference dinner on Tuesday, September 11TH , 2007.
Conference dinner on Thursday, September 13TH , 2007.


Please indicate the number of extra copy of proceedings:


I’m a Spanish attendant:
ADD +16%VAT Only for Spanish attendants:




PAYMENT

By bank transfer to:
Bank name: KUTXA
Account name: ICHS’07
Account holder: Tisa Congresos S.L.
IBAN: ES60 2101 0001 1300 1185 7968
SWIFT (B.I.C.): CGGKES 22

Proof of payment must be sent to TISA Congresos S.L. (Organization supporting conference administration) within fifteen working days after receipt of the acknowledgement.

TISA Congresos S.L.
Mrs. Ainhoa JAUREGUI
Avenida de la Libertad 17-19, 5º
E-20004 San Sebastian Spain
Phone number: 34-943-42 54 20
Fax number: 34-943-42 21 24
E-mail: tisa-congresos@tisadonostia.com

Students, to qualify for the discounted fee, must provide, via fax or e-mail to TISA Congresos S.L., a signed letter on letterhead of their university or institution verifying they are full-time students and a copy of their valid student ID card.





BILLING ADDRESS

(if different of the participant’s one)

First name: (bill)

Last name: (bill)

Organization/Institution/Company: (bill)

VAT Number: (bill)

Address: (bill)

Postal code: (bill)

City: (bill)

Country: (bill)

Phone number: (bill)

Fax: (bill)

E-mail: (bill)