Registration Form

I will participate of the Lishep

Session A
Session C

I will participate as a:

Speaker of Session A
Speaker of Session C
Other of Session A
Other of Session C

Do you intend to present a poster?

Yes
No

PERSONAL INFORMATION

Title If choose "other", fill the filed below.
Other
Last Name
First Name
CPF or Passport Number
E-mail

Physicist Computer Scientist Electronic Engineer Others

HOME INSTITUTE

Institution
Address
Country
State
City
ZIP Code
Phone
Country code + area code + number
55-21-12345678
Fax
Additional Information
(questions, comments, etc)

PAYMENT
This year we decided to do another way for fees explained below.  All payments will be Cash upon arrival. No cheques nor traveller cheques.  We accept Reais, US dollars and Euros.

Registration fee: US120.00, Euros 85.00 or Reias 200,00
   

The registration fee covers:
     Conference attendance
     Conference material
     Conference Services
     Welcome drinks


 Optional Contribution:

  Especial Contribution to help our colleagues without conditions to pay their  
      participation. Free amount.

TOURS :  Please go to the link of this web page "Tours and Workshop Dinner"

 Tour and Workshop Dinner (Friday 23rd January)
Cultural Tour Optional (Saturdeay 24th January)

Casa de Samba (Thursday Night 22nd January)

HOTEL RESERVATION!


Please for hotel Reservation use the left sidebar link "Hotel Reservation"

or write to erika.mendel@creacteve.com.br

who is in charge to do the  Hotel reservation for LISHEP2009

Thank you.



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