REGISTRATION


PARTICIPANT'S PERSONAL DETAILS
First name: Surname:
ID/passport: Other document:
Address Post code:
City: Country:
Telephone: Fax:
Cellular: Email:
Workplace: Workplace telephone:
City:
ACCOMPANYING'S PERSONAL DETAILS
First name: Surname:
ID/passport:
First name: Surname:
ID/passport:
First name: Surname:
ID/passport:
REGISTRATION FEES
Standard 450€
Grant holders, Postgraduate students,... 100€
Acompanying person 100€
Registration Fees Acompanying person
SOCIAL PROGRAMME (OPTIONAL)
Welcome Cocktail
Visit Carmen Thyssen Museum
Gala Dinner
Guided Tour Historic City
ADDITIONAL REQUIREMENTS
Special diets Yes No If so, which?
Allergies Yes No If so, which?
Any disability Yes No If so, which?
Extra help required Yes No If so, which?
INVOICE DETAILS (if required)
Company name: CIF:
Address: Post code:
City: Country:
Contact person: Telephone:
Fax: Email:
Additional details:
METHOD OF PAYMENT


I have read and understood the Conditions of registration