7th EspeQBrazil / 16th RSAS

Personal Data

Title *

Mr.

Ms.

Dr.

Prof.

CPF for Brazilian

Passport for Foreigner

Full Name *

Name on event’s badge *

Birth date *

Gender *

Male

Female

I prefer not to inform

Professional Data

Institution *

Occupation *

Address Information

ZIP-code *

Street *

Complement

Number *

District

City *

State *

Country *

Registration Information

Event *

Are you a SBQ affiliate member? *

Yes

No

Receipt Information (optional)

Name

CPF/CNPJ or Passport Number

Contact and Access Data

E-mail *

Telephone/WhatsApp *

Password *

Confirm Password *

Disclaimer

In compliance with the LGPD (General Data Protection Law), we would like to ask for your consent for the collection, processing and sharing of the following personal data: name, email, city, state. The sharing of personal data is intended for the organizing agency and sponsoring companies to be able to know the profile of the participating public, as well as to offer, in the future, products and services aligned with their interests.

Yes, by signing up I authorize the retention and sharing of my aforementioned data.

No.

By attending this event you consent to be photographed, filmed and/or otherwise recorded.