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