Progress in Digital and Physical Manufacturing (ProDPM'19)

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


Fields marked with * are mandatory

1. Personal Information

(Please insert your full name according to your identification card.)
(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 - Workshop fee

Price

(*) A valid student identification card or a letter from the Head of Department/Supervisor confirming student status must be sent to the conference secretariat after submitting the registration form (either by fax or e-mail).

TOTAL: 0.00 €

4. Payment Method


Morada IPLeiria:

Instituto Politécnico de Leiria

Rua General Norton de Matos

Apartado 4133

2411-901 Leiria

Portugal


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.



ATM payment only available to national participants





5. Submit Registration

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