44th International EPTA Conference

Name:*

First NameLast Name
Passport number/Id:*
Email address:*

Confirmation Emailexample@example.com
Please, select one of the following options: *
Registration for participants/lecturers *

EPTA President/ member of the Board of Trustees (free) **International Participants/non-members (180 €/early booking 160€)Participants EPTA members (150 €/early booking 130€)Lecturers (130€/early booking 110€)Lecturers EPTA Portugal members (90€/early booking 70€)Student EPTA member (70€/early booking 50€)Student non-EPTA member (90€/early booking 70€)EPTA Portugal members [training for Portuguese teachers] - 90€/early booking 70€)Non-EPTA Portugal members [training for Portuguese teachers] - (140€/early booking - 120€)EPTA Portugal members [without training for Portuguese teachers] - (80€/early booking 60€)Non-EPTA Portugal members [without training for Portuguese teachers] - 130€/early booking 100€)
**I am President/Member of the Board of Trustees of EPTA (select country or option “board of trustees”)
Will you join us for the Concert and Conference dinner?*

Yes (60 €/ early booking 48€) *No
* Please indicate if you have any food requirements
Important dates for Proposal Submissions:
- January 1, 2022 – Opening of Proposal Submissions
- April 1, 2022 (23h59 – GMT) – Deadline for Proposal Submissions
- May 15, 2022 – Authors notification
- June 30, 2022 – Early bird registration
Payment Method
Bank transfer (confirmation receipt should be added to this form)
Payment in full must be made through bank transfer to the following bank account p>

Account Holder: EPTA LUSA ASSOC PIANISTAS PROF PIANO

Bank: MILLENIUM BCP

IBAN : PT50 0033 0000 45449327691 05

BIC / SWIFT : BCOMPTPL

Address: R. Caminho Agro, nº 47, 4900-012, Afife, Portugal

Please, keep your bank transfer receipt for your records. You will need to add it in order to fill out and send your registration form.
Billing Address
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Phone Number:

Area CodePhone Number
Is your mailing address the same as your billing address? *

YesNo
Mailing Address
If the mailing address is different from the billing address fill the next fields
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country
Add Bank Receipt

Attach

Cancelof
For further information contact: Epta Portugal
Should be Empty: