XI ARGENTINE POLYMER SYMPOSIUM

Registration Form
 
 

Payment method:
By wire transfer to the following bank account:

Banco CREDICOOP Sucursal Santa Fe
CUENTA CORRIENTE NR. 191.340.035713.2
CBU 19103406 55034003571328
CUIT: 30-62955696-2
Holder: Fundación Facultad de Ingeniería Química, UNL (FUFIQ)

 
 

 

Name, Surname   

Institution   

City, Country    

E-mail    

Category   

Participation   

Payment ticket (.pdf o .jpg < 100 Kb)    

Billing information.

Name   

Address   

IVA    

CUIT