Events Management Unit
4th Annual Meeting of the ISMRM Iberian Chapter | Registration
2-3 July 2024 | i3S, Porto, Portugal
REGISTRATION
* Required fields
Name *
E-mail *
Affiliation *
Registration as: *
Students (70€)
Other (100€)
Industry (200€)
Students should enclose a letter confirming their status signed by their supervisors. (max. size 15Mb)
(max. size 15Mb)
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Will you attend the conference dinner on July 2nd? *
Yes (28€)
No
Would you like to participate in a visit to the Porto wine cellar on July 2nd? *
Yes (16€)
No
Food restrictions
Terms and Conditions
I hereby express my consent to the collection and processing of my personal data (provided in this form) by i3S for the purposes of registration, event database, certification process and communications related with this event. Providing these consents is necessary for event participation. A group photograph of the participants will be taken during this meeting. This photograph may be displayed on the i3S and ISMRM Iberian Chapter websites and social media and in reports to the funding agency. If you prefer not to appear in this photograph, please feel free not to join the remaining participants when we take the group photograph.
I declare that I was informed by i3S, as data controller, that my data will be treated confidentially and exclusively for the purposes mentioned above. I also understand that, in accordance with European and national legislation applicable to the protection of personal data, I have the right, as a data subject, to request from the data controller the access/portability, rectification, deletion, opposition or restriction of processing of my personal data, as well as the right to withdraw my consent to data processing. I further declare that I have been informed by i3S that I can exercise the aforementioned rights by contacting the Data Protection Officer of i3S (by email - dpo@i3s.up.pt, or by mail - Data Protection Officer, i3S, Rua Alfredo Allen, 208, 4200-135 Porto, Portugal). I also understand that I have the right to file a complaint with the Portuguese Data Protection Authority, if there is a violation of the personal data protection rules. *
I read and agree with the Terms and Conditions.
Consent for taking and processing photographs
I consent that photographs are taken of me during the '4th Annual Meeting of the ISMRM Iberian Chapter' and that they are used in communication and dissemination activities. I understand that i3S, the data controller, will be processing these photographs which may be displayed on the i3S and Iberian ISMRM Chapter websites and social media and in reports to the funding agency. I have been informed that these photographs will be securely stored in i3S servers for up to 2 years, after which they will be deleted. I understand that I have the right to withdraw this consent at any time by contacting the Organizing Committee (rvsimoes@i3s.up.pt) or the Data Protection Officer of i3S (by email - dpo@i3s.up.pt, or post - Data Protection Officer, i3S, Rua Alfredo Allen, 208, 4200-135 Porto, Portugal), after which the use of photographs where I may be identified will be ceased (and photographs deleted) as soon as possible. I also understand that I have the right to lodge a complaint with the Portuguese Data Protection Authority concerning a breach of personal data protection rules. *
Yes
No
DETAILS FOR ISSUING RECEIPT OF PAYMENT
If the payment will be done by your Institution / Company, please indicate the organization name and VAT number (when applicable).
The invoice will be delivered upon receipt of the payment. If you need to receive the invoice before making the payment, please send an e-mail to events@i3s.up.pt.
Complete Name or Institution/ Company name *
VAT number (for EU countries) or TAX ID (for other countries) *
Postal Address *
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PAYMENT DETAILS
Please identify your name clearly and the Registration ID when ordering the transfer and send us a copy of the transfer receipt to events@i3s.up.pt.
Full payment of costs should be made in EURO (payments in any other currency will not be accepted). Currency exchanges or bank fees have to be paid by the registrant.
In case of cancellation, the registration fee will not be refunded.
Amendments in the receipt will not be accepted.
Institucional Details
Name: i3S - Instituto de Investigação e Inovação em Saúde da Universidade do Porto - Associação
Address: R. Alfredo Allen 208, 4200-135 Porto
VAT number: 515769053
Bank Details
Bank Holder Name: i3S - Instituto de Investigação e Inovação em Saúde da Universidade do Porto - Associação
Bank: Santander
Address Bank: Estrada Exterior Circunvalação, 3955, 4435-236 Rio Tinto, Portugal
IBAN: PT50 0018 0003 5333 8570 02003
Account: 0003 5333 8570 020
Swift (BIC): TOTAPTPL
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Address: Rua Alfredo Allen, 208
4200-135 Porto, Portugal
Phone: +351 220 408 800
Email: info@i3s.up.pt