CONSTRUCTION PROJECT MANAGEMENT SYSTEMS: THE CHALLENGE OF INTEGRATION CIB W99 2003 International Symposium REGISTRATION FORM version 4 Last name First name Title Mr. Mrs. Dr. Prof. Other Organisation/Company Address ZIP Code City Country Phone Fax E-mail Participation costs (FULL AMOUNT FREE OF CHARGES): Special reduced fee for associated institutions US$150.00 R$ _______________ Includes proceedings, welcome reception, buffet lunches, coffee and conference dinner. Accompanying person(s): US$ 75.00 R$ _______________ Total Costs R$_______________ If you are submitting a paper: Title of paper: Date of birth (day/month/year) / / Passport Credit Card Authorization: please charge my payment of US$ _________to following VISA account number: Name of cardholder VISA Credit Card number Expiration date Date: Signature: Payment by bank order to our Brazilian Bank Account: Bank: BANESPA – 033 - São Paulo Branch SWIFT ADDRESS: BESPBRSPSP0 Beneficiary: PCC-EVENTOS Account: 0658-43-007660-5 Alternative procedure: remit the proceeds by teletransmission to Bank correspondent : STANDARD CHARTERED BANK - New York - Account: 544032961001 - Swift Address: SCBLUS33 - ABA: 026 FEDWIRE: 026002561 - for further credit to BANESPA This form can be sent either by mail, fax or E-mail: Escola Politécnica da USP – Coordenação de Eventos Av. Prof. Luciano Gualberto, trav. 3, nº 380 05508-900 – São Paulo – SP - Brazil FAX # 55 11 3091 5654 - http://www.pcc.usp.br/cib2003 - cibw99.papers@poli.usp.br 533577095