SPCE-TC 9th International Conference
www.itqb.unl.pt/9spce
REGISTRATION FORM
9th Annual International Meeting
of the Portuguese Society for Stem Cells and Cellular Therapies (SPCE-TC)
REGISTRATION FORM

Email registration form and Meeting Fee payment confirmation to [email protected].

Please fill out the registration form completely. We strongly advise you to make a copy of the filled form and keep it for your
own records.
BADGE AND CONTACT INFORMATION:
Print or write your name in capitals as you want it to appear on your name badge, including title or degree.
Please note: participants as well as accompanying persons are requested to visibly wear their name badges during all the
conference activities.
FIRST NAME:
SURNAME:
AFFILIATION/ORGANIZATION:
POSITION:
TAX IDENTIFICATION NUMBER:
STREET ADDRESS:
CITY:
ZIP CODE:
COUNTRY:
E-mail:
TELEPHONE:
FAX:
(+ (+
COUNTRY CODE
/ AREA CODE / NUMBER)
(+
COUNTRY CODE
/ AREA CODE / NUMBER)
BILLING INFORMATION:
Please indicate if different from participant information provided above
NAME:
ADDRESS:
CITY:
ZIP CODE:
COUNTRY:
TAX IDENTIFICATION NUMBER:
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SPCE-TC 9th International Conference
www.itqb.unl.pt/9spce
REGISTRATION FORM
MEETING FEES:
CHECK BOX



FEES:
AMOUNT EARLY REGISTRATION:
(BEFORE SEPTEMBER 24TH)
AMOUNT LATE REGISTRATION:
(AFTER SEPTEMBER 24TH)
1
200 Euros
250 Euros
Meeting Fee for Non Members
1,2
240 Euros
290 Euros
Meeting Fee for PhD students
1,2
Meeting Fee for SPCE-TC Members
140 Euros
190 Euros

Meeting Fee for undergraduate, BSc and MSc
3
students
50 Euros
100 Euros

Conference Dinner
40 Euros
40 Euros
TOTAL TRANSFER (EUROS ONLY)
1
2
3
Includes conference material, coffee-breaks, lunches and social event (dinner, October 15th).
Need to fill in the SPCE Membership registration form, and send it by e-mail to: [email protected].
Includes conference material but does not include social event (dinner). Students enrolled in a PhD program (educational platform) and not yet
committed to a research plan might be eligible. Please send an official statement confirming your current situation to [email protected].
ARE YOU PLANNING TO PARTICIPATE IN THE DINNER?
YES

NO

PAYMENT DETAILS:
All the names and the information must be clearly stated on the bank transfer and payment receipt (to be sent with
registration form), in order for the Organizing Secretariat to trace and acknowledge payment. Full payment of the total costs
above-mentioned should be made in EURO (payments in any other currency will not be accepted). Currency exchanges or bank fees have to be
paid by the registrant.
Bank: Millennium BCP
Account No.: 0000000057396744
Account Name: INST BIOLOGIA EXPERIM TECNOLOGICA IBET
Nib: 0033.0000.00057396744.05
IBAN: PT50.0033.0000.00057396744.05
SWIFT/BIC: BCOMPTPL
Please identify clearly your name when ordering the transfer and send us a copy of the transfer receipt by email
together with the registration form to: [email protected].
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