Zaragoza, 8-9 November 2010 - Child health in Europe, The IDEFICS Study

Data Entry

To register at the conference, please enter the information requested below and click "Send Request"

Name and Surname

Affiliation

Position

Address

City

ZIP

Phone

Fax

E-mail

Deadline for Registration: 8 October 2010

Fees (VAT included):

Symposium: 100 Euros (includes Registration and official dinner Monday 8th)

Workshop: 50 Euros (includes Registration)

Symposium + Workshop: 125 Euros (includes Registration and official dinner Monday 8th)

IDEFICS members Symposium + Workshop: 50 Euros (includes Registration and official dinner Monday 8th)

Surgery's and Sports Medicine's Students: 50 Euros (includes Registration and Symposium documentation). In order to gain this discount, you should send your student certificate.

Colegio oficial de Nutricionistas’ members: 50 Euros (includes Registration and Symposium documentation). In order to gain this discount, you should send your student or member’s certificate.

	I need a bill (the following fields are required)
Company		VAT number
Address		City	ZIP

Bank Transfer

Payment: Bank transfer at Fundación Empresa Universidad de Zaragoza (FEUZ):

Banco Sabadell, c/c: 0081-0170-11-0001354545
Iban: ES64 0081 0170 1100 0135 4545
Swift: BSABESBBXXX

Do not forget to send the proof of payment:

You can also sent it by fax nº: +34 976558549 or by email to: idefics@feuz.es

Point of Sale Terminal

Data will be incorporated into a database that will be used to facilitate administrative management -issue of certificates, statistics-, to give information on the symposium, and also, in case you grant us permission, to provide further information that FEUZ considers may interest you. Data can be transferred to the director of the symposium if requested. Information will not be used for any other purpose. According to the “Ley de Protección de datos de carácter personal 15/1999”, you can access, modify or change data.

FEUZ - Fundación Empresa Universidad de Zaragoza
Paseo Fernando el Católico, 2, entlo.
Tel. +34 976 351 508 / Fax. +34 976 558 549
50005 Zaragoza (España) - e-Mail: idefics@feuz.es