Registration Payment

2024 Global Meeting – In collaboration with ASSBI, FESN and SLAN
Porto, Portugal | July 3 – 5, 2024

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Click Here for International Wire Payment Instructions

For those wanting to pay through an international wire, please do not submit this form. Instead, please use the following information for your wire payment. Once we receive the payment, we will provide you with a code that you may use to register and bypass payment.

Bank Name and Address:

Chase Bank
201 South Main Street #180
Salt Lake City, Utah, USA, 84111

Swift Code: CHASUS33
Account number: 822966326
Routing Number: 124001545

Date

Name(Required)

First Middle Last

Email(Required)

Enter Email Confirm Email

To receive the special rate, participants need to indicate their affiliation with one of the organizers, i.e., Professionals Affiliated with Partner Societies (ASSBI, FESN, INS, SLAN) + National Affiliated Societies (Secção de Neurologia do Comportamento da Sociedade Portuguesa de Neurolologia; Sociedade Portuguesa de Neuropsicologia).

Students must provide proof of their enrolllment.

Registration Category(Required)

Congratulations! You are receiving early bird registration rates.

Professionals Affiliated with Partner Societies + National Affiliated Societies

Non-Member Professionals

Students

Registration Category(Required)

We are now offering regular fee rates.

Professionals Affiliated with Partner Societies + National Affiliated Societies

Non-Member Professionals

Students

Affiliation(s)(Required)

Please check all that apply.

Student Proof of Enrollment(Required)

Please upload a PDF file documenting your status as a current student or trainee.

Drop files here or

Accepted file types: pdf, Max. file size: 5 MB.

Optional Add-Ons

Please enter a number of into the following boxes to add welcome or farewell cocktails to your registration.

Welcome Cocktail for Accompanying Guest(s)

Price: 30.00 €

Farewell Drink for Delegate

Price: 25.00 €

Farewell Drink for Accompanying Guest(s)

Price: 25.00 €

Billing Address(Required)

This will appear on your invoice and should match the payment method being used.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Code

If you have a special use code, please enter it here and then click Apply.

Total

This will appear as zero until a registration category is selected.

Hidden

Total Number

Payment(Required)

This field is for validation purposes and should be left unchanged.

2024 Global Meeting – In collaboration with ASSBI, FESN and SLAN Porto, Portugal | July 3 – 5, 2024