Registration Form

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7 th International Congress

Organizer

“Live Working and Safety in Electrical Power Transmission and Distribution and De-energized

Maintenance in Hv Installations.

” (VII CITTES)

14 - 17 September 2015 Buenos Aires, Argentina

REGISTRATION FORM

(fill with print capital letter)

APPLICANT

Last name:

First name:

Company:

Job position:

Address:

City:

Phone: e-mail:

Guests, name and last name:

Fax:

Zip code:

Country:

CROSS AS APPROPRIATE

Participate as:

CACIER Members, papers Authors and

Government Agencies

Payments up to July 31th u$s 500

Payments from August 1st u$s 600

CIER Members u$s 600 u$s 700

CIER non Members u$s 700 u$s 800

Values expressed in U.S. DOLLARS may be paid in Pesos Argentinos taking the official selling exchange rate dollar value of the previous payment date

NATIONAL PARTICIPANTS

PAYMENT METHODS

(select the payment method chosen)

FOREIGN PARTICIPANTS

Cash: in our headquearters prior to the event or at the event site at the time of the accreditation (in US dollars or pesos taking the official selling exchange rate dollar value of the previous payment date)

Cash: at the event site at the time of the accreditation (in

US dollars or pesos taking the official exchange rate dollar value of the previous payment date)

Check: sent to our headquearters prior to the event or at the event site at the time of the acreditation (only in pesos taking the official exchange rate dollar value of the previous emission date)

Bank Transfer prior to the event (only in pesos taking the official selling exchange rate dollar value of the previous emission date) to the order of “Comité

Argentino de la CIER” current-account in pesos, Banco

Francés 316-013504-5 Sucursal Catalinas: Leandro N.

Alem 996, Buenos Aires

CUIT: 30-66353090-5

CBU 01703168 2000000 1350450

(We will appreciate if you could send us by fax the receipt of the bank transfer)

Bank Transfer (only in US dollars)

Transfer charges are not included in the cost and they will be paid by the registered person, therefore they must be added to the registration value. All those attending to the event belonging to the same company must make only one transfer for the total amount.

Intermediary Bank:

Standard Chartered New York

Address: 1 Madison Av., New York NY 10010 U.S.A.

SWIFT SCBLUS33 – ABA 026002561

Beneficiary Bank:

BBVA Banco Francés – Sucursal Catalinas

Address: Av. Leandro N. Alem 996, Bs. Aires, Argentina

Account Nr 316-13504-5

Account holder : Comité Argentino de la CIER

(We will appreciate if you could send us by fax the receipt of the bank transfer)

Deadline for transfers September 7th.

BILLING

If an invoice were required, it will be done in the name of your company / institution, for which the following information is required:

Company name :

CUIT: VAT situation:

The invoice will be sent in advance to the e-mail you tell us.

We would be grateful if you could please complete this form and send it by e-mail to: cacier@cacier.com.ar or by fax al (+54-11) 4311-2970 / 4311-9375 / 4314-7053

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