Please, fill in the following form and send it to the Challenges 2009 organisation team.

Your registration will only be validated after we confirm your payment wich must be made exclusively by bank transfer to the following account number:

NIB: 003501710016732263015
IBAN: PT50003501710016732263015
SWIFT CODE: CGDIPTPL
Agency: BRAGA
Bank: CAIXA GERAL DE DEPÓSITOS - AVENIDA CENTRAL - 4700 BRAGA
Country: PORTUGAL

The fields marked with * are mandatory

*Registration type
*First Name
*Last Name
*Institution, Department or Organization
*Address
*Postal Code
*City
Country
*E-Mail
*Fiscal Identification Number (for receipt purposes)