Sixth International Congress on

Insurance: Mathematics & Economics 
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REGISTRATION FORM

You can register for the IME2002 congress completing the form below and pressing the button labeled Send form.  You will receive an acknowledgement of your registration.
You may prefer to download the registration form and print it out for manual completion and send it by Fax (+351 21 392 27 82). Please click here to download the registration form in Word for Windows 2000 format. Please do not send the form by two different ways. It may imply a double payment.
Surname:
Name: Title
Special Needs (e.g. diet, accessibility, etc.):
Organization:
Address:
City and Code:
Country:
Telephone:
Fax:
Paper: I will not be presenting a paper
I shall be presenting a paper. The provisional title (or subject area) of my paper is
Payment:

See the page Deadlines and Fees for fee amount.

Payment fee

Cheque Bank Transfer VISA Master Card

Card Number  

Card Verification Value/Code (last three digits close to the signature)

Expiration Month Year

Cardholder (exactly as it appears on your credit card statement)

Address (exactly as it appears on your credit card statement)


A banker's order transfer should be made to the following current account:
Account with NIB  003503710000100053068
Caixa Geral de Depsitos
Rua do Quelhas 6
1200-781 Lisboa
Portugal

 

A cheque, made payable to CEMAPRE, should be sent to:
CEMAPRE
Rua do Quelhas 6
1200-781 Lisboa

Portugal

 

Email: