International Firefly Symposium

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Until 15 of May 2022
- Student - 125€
- Non Student - 250€

Family name

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First name

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Title

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Institution

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Address

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City, Zip Code

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E-mail (*)

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Are you a student?(*)

Yes

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Please upload your valid student ID by file (*.pdf , *.jpg)

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Phone Number(*)

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Please, can you tell us if you want the invoice for the registration in your name or in the name of an institution?

I want the invoice in my name!

I want the invoice in the institution name!

I want the invoice in another name!

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Other Name

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Presentations

Accompanying person(s) (please fill the appropriate space):

We are still preparing the Social Programme, please let us know if you are planning to have accompanying persons and their average of ages.

Number of Adults

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Adult 1 - Family name, Forename

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Adult 2 - Family name, Forename

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Adult 3 - Family name, Forename

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Adult 4 - Family name, Forename

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Adult 5 - Family name, Forename

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Number of Children

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Children 1 - Family name, Forename

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Children 2 - Family name, Forename

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Children 3 - Family name, Forename

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Children 4 - Family name, Forename

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Children 5 - Family name, Forename

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SPECIAL REQUIREMENTS
Please let us know if you have any special needs (diet, wheelchair, etc.) while at the Symposium.

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Included on the registration fee:
- All documentation related with the symposium;
- The daily shuttle service from de City Centre to the Conference Room;
- Coffee breaks and lunch for the 3 days of the congress (15th to 17th of June), one dinner at the Parque Biológico (15th of June) with a nocturnal visit to observe our local firefly species;
- The visit to a Port Wine Cellar with wine tasting.
- Visit to Lousada with workshop and picnic.

Not included on the registration fee:
- 17th of June dinner - symposium dinner
- Last day post-symposium programme:(due to covid-19 constraints the programme is not yet defined)

Please make sure all details are correct before submitting your application.

* With the General Data Protection Regulation, the Municipality of Gaia, as data controller, undertakes to guarantee the security and protection of personal data by adopting a set of organizational and technical measures. The personal data collected is only for the sole purpose and is not transferred to third parties, except as provided by law. In accordance with the applicable legislation, users are guaranteed the exercise of the rights of data subjects, by sending an email to epd@cm-gaia.pt.

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