Contact information

PYFF6 Secretariat
Department of Bioengineering
Instituto Superior Técnico
University of Lisbon
Avenida Rovisco Pais, 1
1049-001 Lisboa

Tel: +351 21 841 9181
Fax: +351 21 841 9199
Email: pyff6@tecnico.ulisboa.pt

REGISTRATION FORM

Participant Information
Name		*
Affiliation (Institution/Company)		*
Email address		*
Phone

Payment Information
Student Participant - 350€
Regular Participant - 570€
Are you attending the symposium dinner? - 55€
Please indicate us if you have any food restrictions
~~Are you applying to a young FEMS grant or to a EFB/Microbial Physiology grant?~~
Payment of your registration will be suspended until the results of FEMS and EFB/Microbial Physiology grants are known. Later on you will be contacted by the meeting secretariat with more informations on how to proceed.

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Bank Transfer
Bank name:	Santander Totta
Inside Portugal	Account number: 0003 174175 69020 NIB: 0018 0003 17417569020 82
Outside Portugal	IBAN: PT50001800031741756902082 BIC/SWIFT: TOTAPTPL
Transfer date
Transfer reference
Credit Card
You should fill in following form PYFF6-CreditCardForm.doc - and Fax it to 00351218437380 - or Email it to
Note: all bank fees regarding the attendee registration are to be supported by attendee.

Registration Invoice
The registration is only complete once you fill in the following form PYFF6-InvoiceRequestForm.doc Please fill in only the fields marked with X, and upload it here:
		*

Additional observations

Submissions are closed!

PYFF6 Conference - 2016