REGISTRATION  FORM    JTN_6
Valladolid, June 29-July 3, 2015.

REGISTERED NAME

⁭Mr.  ⁭Mrs.
First name.............................Family name/Apellidos…...........................................Citenzenship………………..
Organization/School............................................................................Passport number/DNI*..…………….........
Private (fiscal) address*............................................... Post code.................. City.....................Country..……….
Telephone............................... Fax.............................. E-mail................................................................................
*We need these data in order to produce official receipts

REGISTRATION FEE

				Before June 3st 				After June 3st 	

Standard Rate			2⁭150€					2⁭ ⁭200€	
Reduced Rate			2⁭ ⁭75€					2⁭ ⁭100€	

The standard rate fee includes conference materials, coffee breaks and lunch from Monday to Friday.

Dietary Requirements: 	 None ⁭		 Vegetarian		 Others:………………………………..

The registration fee is 150€ until 02-06-2015, and 200€ from 03-06-2015. The inscription will be definitely valid only after the payment of the registration fee. PhD Students which produce a letter from his/her advisor are entitled to 50% discount (75€ or 100€, depending on the inscription date).

Bank transfers should not involve any expense for the Organization. The concept of the bank transfer must clearly contain the following data:
Name, First Name + 6JTN2015
For a correct processing of the inscription, a copy of the Bank Transfer Payment Confirmation should be sent, either by email or by fax, to:
E-mail: jtn6.2015@gmail.com   Fax: +34983423788

Bank account details:
Bank name: Banco de Santander. 
Account name: Universidad de Valladolid (Sextas Jornadas de Teoría de Números). 	
Account number: 0049 5450 0427 1624 8941

For international bank transfers:
IBAN: ES28 0049 5450 0427 1624 8941
SWIFT CODE (or BIC): BSCHESMM
Postal Adress:  Banco Santander. Plaza Mayor 2, 47001, Valladolid.

JTN_6: 6th Spanish Workshop on Number Theory
E-mail: jtn6.2015@gmail.com