Entry form

Please, fill in the form to register in the IV Forum SusChem-Spain Sustainable Chemistry, Innovative and Competitive Companies organized by SusChem-Spain (please note that fields marked with * are compulsory).

Please, note that your registration will not be confirmed until the payment has been made.

Registration will close on May, 19th.

Personal infomation

 

Name *

 

Surname *

 

 

 

Email *

 

Phone (please, include your country code) *

 

 

 

I am speaker, guest or sponsor (Free registration):

 

 

 

Yes, I ask for free registration.

 

I am Last Courses or PhD student:

 

 

 

Yes, i ask for this special fare (150€ + VAT).

 

If you would like to register 3 or more people, please check the checkbox bellow:

 

 

 

Yes, I would like to register 3 or more people (a 15% discount will be applied).

 

How many people are you going to register?:

Professional information

 

Organization name*

 

Organization ID*

 

 

 

Full address *

 

Postal code*

 

Country *

 

 

 

 

Your position *

 

Additional information

 

Would you like to join The Mesh? *   

 

Do you have any alimentary intolerance?

 

Yes, i'd like to send a Poster Yes, i'd like to join the networking (B2B) Yes, both of previous options No

 

Rate (price per person includes documentation, meals and coffe breaks)

Entities affiliated to SusChem - España

726,00€   484,00€
TAX included

NO affiliated to SusChem - España

1.028,50€   726,00€
TAX included

Guest, Sponsors, Speakers

0€   

Last courses and PhD Student

181,50€
TAX Included

You will receive a copy of the registration, once you provide all the data .