Note: When e-mailing the Registration Form, do no forget to save the file in your PC, fill up your personal data, save the file again and attach the new file in the message to be e-mailed.

I) Either fax this registration form to or e-mail it to: 216.1139

Registration:

Seminar

Course

Full Name:
Profession:
Address for postage:
City:	State:
Country:	Postal Code :
Phone:	Fax: Mobile Phone:
E-mail:
Organization:
Department/Sector:
Professional Address:
Position:
City:	State: Postal Code :
Country:	Phone: Fax:
E-mail:

Select the Discussion Group that you would like to attend (only one):
Topic 1	Topic 2	Topic 3	Topic 4	Topic 5	Topic 6	Topic 7

Indicate if you will attend (free for delegates registered in either the Seminar or the Course):

Opening Cocktail (April 27th: 08 pm - 11 pm)

Closing Dinner (April 30th - evening)

Porto Alegre City Tour (May 1st: - morning)

Technical Visit III Perimetral (May 1st - afternoon)

Indicate how many guests you want to bring with you to the following events:

Cocktail**: Dinner**: City tour: Technical Visit:

**price is given below

II) If there are still places, the organizers will inform you, by either fax, e-mail or phone call, to proceed the payment.

III) Your registration will only be completed after your payment has been processed according to the following bank details and you have fax a copy of the bank transfer to 32161139*1 within three business days after our confirmation of your place.
Bank account holder: Prefeitura Municipal de Porto Alegre
Bank: Banco do Estado do Rio Grande do Sul - BANRISUL (041)
Account number: 04.000430.0-4
Bank branch: 051 (União - Posto Prefeitura)
Note: Places cannot be guaranteed for applications received after the period established in Item 3.

IV) Your registration will be confirmed within about five business days after receiving the proof of your payment. If your registration is not confirmed within this period, contact the organizers as soon as possible.
*1- International phone calls: 55 51 + (phone or fax)
National phone calls: 0xx51 + (phone or fax)

 

registration fees (R$)

Payment date Before 31/3 From 31/3 to 15/4 After 15/4 Seminar 300,00 350,00 400,00 Course 150,00 200,00 250,00

invitations for guests (R$)

Opening Cocktail 30,00 Closing Dinner 35,00

Note:

• Places are limited for both the Seminar (300 persons) and the Course (40 persons)
• The registration fee for the Seminar and/or Course includes coffee break, opening cocktail and closing dinner, Porto Alegre city tour and technical visit.

Indicate other colleagues who could be interested in attending either the Seminar or the Course:

1.

Full Name:
Profession:
Address for postage:
City :	State :
Country:	Postal code :
Phone:	Fax: Mobile Phone:
E-mail:

 

2.

Full Name:
Profession:
Address for postage:
City :	State :
Country:	Postal code :
Phone:	Fax: Mobile Phone:
E-mail: