Registration Form

Geodiversity and Geoheritage
international summer workshop
26-28 June 2014 - Terras de Cavaleiros Geopark - Portugal
Registration Form
Name:
E-mail:
Mobile:
Country:
Institution:
ProGEO member:
Student:
If yes, please send a copy of your student's card
My bank transfer:
Bank transfer details:
BANK: Caixa Geral de Depósitos
BANK ADDRESS: Universidade do Minho, Braga
ACCOUNT: GEOSITE,LDA
IBAN: PT50003508230001040193083
SWIFT: CGDIPTPL
Registration fees:
Normal: 180€
UMinho student: 60€
Other students and ProGEO members: 100€
Deadline: 15th May 2014
Please send this PDF and a copy of the bank transfer to: [email protected]