International Conference on Water Energy Food and Sustainability - ICoWEFS

Registrations are closed.

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

Fields marked with * are mandatory

1. Personal Information

Full Name *

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

Address *

Postal/Zip Code *

City *

Phone Number *

TAX Number *

Country *

Affiliation *

E-mail address *

(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.

Receipt in

Name

Address

Postal/Zip Code

City

Country

TAX Number

Phone Number

Fax

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 by e-mail.

TOTAL: 0.00 €

4. Payment Method

In the case you need we, previously, emit an invoice, please send an email asking this to gire.estg@ipleiria.pt

If you can pay by Credit Card or by ATM reference, please use them. Only pay by Bank Transfer as the last resource.

Credit Card

Politechnic of Leiria address

Instituto Politécnico de Leiria

Rua General Norton de Matos

Apartado 4133

2411-901 Leiria

Portugal

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 Reference (Entity and Reference)

ATM payment only available for participants with Portuguese national bank account

Bank Transfer

Please take into consideration:

i) Immediately after this conference inscription, a Registration Number will be emitted for your reference. In your own interest, please use this registration number as part of the description of the bank transfer, using the following format: "ICOWEFS_(Registration Number)".
Example: ICOWEFS_50322. Without this procedure it will not be possible to identify your payment and troubles are expected, for sure.

ii) A proof of payment must be sent to gire.estg@ipleiria.pt.

iii) Operational costs due to bank transfers are chargeable to the emitter

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

5. Submit Registration

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