Welcome to 4th European Summit on the Future Internet
REGISTRATION FORM
1 Identification
First Name: (*)
Last Name: (*)
Affiliation: (*)
Address: (*)
 
City: (*)
Postcode: (*)
Country: (*)
Phone:
Fax:
E-mail: (*)
   
2 Badge Information
(Title) Name: (*)
Affiliation: (*)
   
3 Conference Registration
  Registration includes: attendance, coffee-breaks, lunch and social dinner.

 
  On or Before Jun 7th  
Full Registration: Eur 150  
         
         
4 Receipt Information
VAT:
  If the Receipt Information is different from Personal Identification, click to enter the Receipt details.  
   
Note: In case you have problems with the registration process, please contact us at paulo.nunes@tice.pt
@IT-Aveiro 2013