1st Meeting on Emerging Technologies in Zebrafish

Registration

PERSONAL DATA (one form per participant)

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INVOICING DATA*

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REGISTRATION RATE

	BEFORE 25 september		AFTER 25 september
Registration		200 €		250 €

VAT INCLUDED
The registration rate includes: Meeting attendance, coffee, lunches and documentation

SOCIAL EVENT

DINNER in a typical BASQUE CIDER HOUSE located in the old quarter of Bilbao
Sidrer? ARRIAGA, Santa Mar? 13, Bilbao, 48005

Dinner	none
	for 1	30 € VAT INCLUDED
	for 2	60 € VAT INCLUDED

PAYMENT METHOD

	Check Under the name of Lankor LANKOR - Att.: Nerea Vallejo - Parque Empresarial Zuatzu. Edificio Zurriola, planta baja, L 5. 20018 Donostia-San Sebastián
	Bank Transfer Please send the copy of the bank transfer document, indicating the participant name to LANKOR (+ 34 943 428055). IBAN: ES10 0030 3469 17 0000416271 SWIFT CODE: ESPCES MM BANESTO, c/Miracruz, 13 - 20001 Donostia-San Sebastián, Spain
	Credit Card Online secure payment

CANCELLATION POLICY

Cancellation fee until the 16th November 30,00 euros
Cancellation policy from the 16th November on will be 100%.

LANKOR - TECHNICAL SECRETARIAT

Zuatzu. Ed. Zurriola, planta baja, L 5. 20018 Donostia-San Sebasti?, Spain
TEL: +34 943 42 81 11 - FAX: +34 943 42 80 55
e-mail: info@lankor.com - http://www.lankor.com

In accordance with the provisions set for in article LO 15/99 of Personal Data Protecting Policy, you are hereby informed that any personal data provided by you will be attached to a document whose responsibility belongs to AZTI-Tecnalia, just for promotion purposes and any derivatives therefrom. By filling out the present form AZTI-Tecnalia and Lankor, S.L. are hereby authorised to use the provided personal data for the above mentioned purpose. Likewise, you will be entitled to access, alter and cancel it, in your particular case, at our offices.