Registration Form

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IBERSENSOR 2008
6th
Ibero-American Congress on Sensors
November 24th – 26th, 2008 –São Paulo, BRAZIL
120216202300
Registration Form
(Submit one form per person)
Title:
Family Name:
First Name:
Firm/Organization:
Address:
Postal Code:
City:
Country:
Email:
Telephone:
Personal Email :
Mobile Phone
I will present the following papers
(indicate only their numbers, i.e., IB08-xx):
Please register me for the Congress. I have indicated the requirements below:
Full Congress Registration
US$ 250.00
Student Registration
US$ 100.00
Payment Options:
Registration pre-confirmation with compromise of payment in cash at the Congress Registration
Desk in November 24th, 2008 (valid for all congressists)
Please fill-in and send this Registration Form to registration@ibersensor.org in .doc
format (preferred) or .pdf format (acceptable)
We understand this is a commitment from you to attend to the Congress.
If you wish and you have a bank account in Brazil you may register by Direct Bank Transfer:
Please make a direct bank transfer to:
Sociedade Brasileira de Microeletrônica – CNPJ 55.166.888/0001-29
Banco do Brasil (001) – Agência 3559-9 – Conta Corrente – 19441-7
Please fill-in this Registration Form and send it together with a scanned copy of the Bank Transfer
Receipt to registration@ibersensor.org in .doc format (preferred) or .pdf format (acceptable)
The registration covers::
* Name badge
* Admission to
all sessions
* Conference
kit
* Opening and
Closing Sessions
IBERSENSOR 2008
Complete information at the Congress website
(http://brasil2008.ibersensor.org)
* All receptions
* Conference
Dinner
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