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IMPORTANT

The industrial forum will take place all days (10, 11, 12 and 13 of March), but the brokerage event will take place only on March 12.

General Info
All fields are mandatory

Free of charge for those who already registered to attend ImagineNano (Global, Conference and Exhibition Pass)

Gender  Male  Female   Title   Mr./ Mrs./ Ms  Dr./ Professor.
First Name     Last Name  
Institution     Address/Dep.  
City     Postcode  
Country               Day
E-mail     Phone  
 
Payment Method:   
1) Bank transfer to the order of "Fundacion Phantoms" must bear the mention "FREE OF CHARGE TO THE RECEIVER" and must indicate ImagineNano Brokerage Event + Industrial Forum and LAST and FIRST NAME of the participant to facilitate identification and to the following bank account:

    CaixaBank SA, Calle Ibiza 64, 28009 Madrid (Spain)
    BIC (Bank Identifier Code): CAIXESBBXXX
    IBAN (International Bank Account Number): ES55 2100 6441 5122 0002 0128
    Phantoms Foundation VAT Number: ES G83352724

PLEASE, SEND BY E-MAIL (info@imaginenano.com) A COPY OF YOUR BANK TRANSFER.
ALL BANK CHARGES SHOULD BE PAID BY THE APPLICANTS.

2) Credit card  [ VISA - MasterCard ]
(*) For Credit Card payment, a 1,5% (bank costs) will be applied
    
 



ImagineNano 2015