International Tourism Congress (ITC'17)

In case you have difficulties in completing the application form please contact us via email: veronica.oliveira@ipleiria.pt


Fields marked with * are mandatory

1. Personal Information

(Please insert your full name according to your identification card.)
(Please enter the designation of the company or institution where you develop your professional activity.)
(Please insert your email address. The address introduced will be used for future communications)

2. Invoice Information

Please fill in the fields below if you require the invoice in a different name from above-mentioned.


3. Registration - Conference fees

Price
0.00 € TOTAL:

4. Payment Method


Morada IPLeiria:

Instituto Polit�cnico de Leiria

Rua General Norton de Matos

Apartado 4133

2411-901 Leiria


Política de Privacidade | Política de Reembolso


Note: After you select the credit card payment method and submit the application form, you will receive an email for credit card payment instructions.





Payment by Bank Transfer to:
Instituto Politécnico de Leiria
R. General Norton de Matos
Apartado 4133
2411-901 Leiria

Bank Name:
Instituto de Gestão da tesouraria e do Crédito Publico, IP
Avenida da República, N.º 57, 6º
Place: Lisboa
Postal/Zip Code: 1050-189
Country: Portugal
NIF: 503 756 237
Phone: +351 217 923 300
FAX: +351 217 993 795

NIB: 078101120000000133640
IBAN: PT50078101120000000133640
SWIFT BIC CODE: IGCPPTPL

For bank transfers, the description of the transfer must comply with the following format: "ITC2017+Registration Number".

A copy of the payment/transfer should be sent by email to Veronica Oliveira veronica.oliveira@ipleiria.pt.

5. Additional Information

6. Submit Registration

I declare that all informations provided on this Application Form are true without any omission to the same. *