RegistrationForm – EPIA 2025

The EPIA 2025 international conference

Personal information

Name *

Affiliation *

Email Address *

Confirm Email Address *

Phone *

Country *

Billing Entity/name (if different than participant name)

Billing address *

City *

Billing ZIP code *

Billing Country (if different than participant country):

Billing VAT number

Paper ID (only If you are presenting a paper)

Registration type *

If your registration type is not 'Regular,' please provide a certificate that confirms your status *

No file chosen

Attending conference banquet

Additional paper

Diet restrictions

Companion person's attending conference banquet

Companion person's name *

Companion person's diet restrictions

Payment amount

Payment type *

Please transfer to:

UNIVERSIDADE ALGARVE
IBAN PT50 0035 0205 00002818431 61
BIC SWIFT CGDIPTPL

Upload wire transfer confirmation document *

No file chosen

If "other" please specify *

Adicional Information

In Paypal, make sure to use the same Billing Entity/Participant Name as filled above