REGISTRATION FORM ICCVJ

 

 

 

Name (*)

Organization

Adress

Zip Code

Country

Phone

E-mail (*)

Registration from August 1 to October 14

Bank Name

For the invoice/Receipt please fill the boxes below

Name:

Vat Number:

Choose your VAT country:

Please attach the Transfer Receipt

Participating in this event, I authorize FP - Fernando Pessoa to collect audio and/or my image in photography, video or other form of media.
The collected data will be used for the registration (archive) of the event and may be used for its transmission in the communication channels of the FP and respective production of material of publicity of the University.