PRE - REGISTRATION FORM
(EXPRESSION OF INTEREST / LETTER OF INTENT)
PLEASE COMPLETE AND RETURN BEFORE SEPTEMBER 01, 2015
5th INTERNATIONAL SYMPOSIUM ON SOIL WATER MEASUREMENT
USING CAPACITANCE, IMPEDANCE AND TIME DOMAIN TRANSMISSION
ORGANIZED BY PALTIN INTERNATIONAL INC., IN COLLABORATION WITH THE EMBRAPA INSTRUMENTATION
SAO CARLOS, SAO PAULO STATE, BRAZIL, SEPTEMBER 20 – 23, 2016
 Mrs.
Salutation
 Mr.
PERSONAL INFORMATION
 Ms.
 Dr.
First Name:
Last Name:
Organization:
Work Title:
Mailing Address:
City:
State/Province:
ZIP/Postal Code:
Tel:
Forms of participation:
Country:
Email:
Check the options bellow
EVENT PARTICIPATION:
Please select one or more from the following forms of participation::
 Technical Exhibition (display booth)
One table and two chairs provided by the
organizers
(maximum 10 pages)
(maximum one page)
(maximum one page)
 Conference (oral presentation): accepted peer reviewed Full Length Paper
 Forum (oral presentation): accepted peer reviewed Abstract
 Poster Presentation: accepted peer reviewed Abstract
 Field Water Management Hands-On Workshop
All registration types include: one (1) pass to the Symposium activities, one (1) printed copy of the 2016 Transactions, coffee breaks,
lunch, and transportation for the field visits.
Please complete and return this form before September 01, 2015 to: Dr. Ioan Caton Paltineanu - President, Paltin
International Inc., Laurel, Maryland, USA, ioan@paltin.com; Copy to Dr. Carlos M. P. Vaz - Researcher, Brazilian
Agricultural Corporation - EMBRAPA, Embrapa Instrumentation, São Carlos, SP, Brazil, carlos.vaz@embrapa.br;