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CQSOE19 Registration and Hotel Reservation Form

 Participant 

 For invoice and badge 

 Registration 
ATTENDANCE TYPE Before July 5 After July 5
 Regular 290 € 350 €
 Student fee 150 € 210 €
Registration of accompanying person

(It includes conference dinner)

50 € per person   
Special food requirements
for Participant / Accompanying person
(eg Gluten free, Vegetarian) 		No   Yes

• Registration Online Deadline: July 31th, 2019


 Hotel Thalasia 

Accommodation Need hotel reservation ? Yes No

   Check-in date     Check-out date  Code:
   Room type 
   Occupant name 2 
   Occupant name 3 
   Occupant name 4 

 Payment 

IMPORTANT. Payment for registration and accommodation must be made at the time of completing this Form, but you can cancel your reservation without charges until July 31*

• From 1 to 20 August, hotel cancellations will have a 15% penalty
• After August 20 hotel cancellations will have a 100% penalty

* Cancellation must be always confirmed in writing . Don't forget to include all your bank's information. All refunds are subject to an administrative fee of 25 €.

Only registration forms properly filled in and accompanied by their proof of payment will be processed.
Registration will only be confirmed once payment has been checked by the Technical Secretariat.

 Bank transfer (free of charges) to: VERTICE SUR

Beneficiary address:
C/ Platería 29
C.P. 30001 Murcia

Please remember to indicate on the heading/subject of the bank transfer : "CQSOE19/ Family Name, Name"

Savings Bank: BMN Bank
Bank's address: Plaza de las Flores, nº 2
C.P.: 30004 Murcia
Bank account (IBAN): ES16 2038 3107 8560 0011 8245
Swift/Bic Code: CAHMESMMXXX

 Credit card (be charged a 1% additional)

Card type  
Card holder  
Card number  
Expiring date  
CVV code  CVV Security code (three last digits on the side of the signature)  

Legal warning

On behalf of the company, we treat the information you provide us in order to provide them with the requested service, make the billing of the same. The data provided will be kept as long as the commercial relationship is maintained or during the years necessary to comply with the legal obligations. The data will not be transferred to third parties except in cases where there is a legal obligation. You have the right to obtain confirmation about VERTICE SUR CB. is processing your personal data, therefore you have the right to access your personal data, correct inaccurate data or request its deletion when the data is no longer necessary.

Responsible: Vértice Sur CB. NIF: E-73828824
C / Platería 29, 1ºC. 30.001 Murcia
T. 868970287 Email:

I accept terms and cancellation policy expressed in this website