Name (required)

First surname (required)

Second surname (required), if you are a foreigner, hyphenate)

Place of work (required)

Indicate your name as you wish it to appear on the congress participation certificate (required)

Email (required)

Mobile number (required)

Consult the program and indicate the registration method chosen by you (required)
Normal feeCOIBA membersUndergraduate studentsVirtual feeWorkshop 1Workshop 2

For the welcome cocktail, coffee break and lunch. Do you have any dietary requirements? Please indicate which

Do you want to participate in the closing dinner? if yes, check the box YES
YES

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CONDITIONS OF REGISTRATION
Registration fee (all on-site modalities) includes: attendance to the Congress in the corresponding modality chosen, the corresponding material, and certificate of attendance, coffees, welcome cocktail, and lunch on the second day (if registration is on-site). It does not include either travel or accommodation. There will be a simultaneous translation service included for the sessions on 30th and 31st October.
You may attend all the sessions included in the scientific program provided that identification is carried, and while seating is available in the rooms.
The deadline for requesting a refund of the registration fee is 5th September 2018 at 24:00 hours, and the refund will be made after applying a penalty of 20%. You may cancel your registration using the details from the receipt received after registration. If the reason for cancelling your registration is due to non-acceptance of your work proposal, 100% of the registration fee will be refunded. From that date and time, the cancellation of registration will not be possible and there will be no refunds of any kind.
To request a refund, you must send a written application signed by the person concerned to the technical secretariat at: info@congresohistoriaenfermeria.com
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I have read and accept the conditions of registration (required)
YES

IBAN: ES86 2100 0551 5002 0036 9768
Please attach your registration payment receipt (required) (maximum size: 3 Gb formats: pdf | jpeg | jpg | png | gif)

In case of choosing the modality of "Undergraduate student", attach an update registration certificate (maximun size: 3Gb formats: pdf|jpeg|jpg|png|gif)