Full Name:
Short Name for Badge:
Accompanying Person’s Name
Will Share Room with:
Company - Organization :
Job Title:
Address:
City:
State:
ZIP Code:
Country:
Phone Number: ex.: 55 11 43215678
Fax Number : ex.: 55 11 43215678
E-mail:
Arrival Date:
Departure Date:
   

Symposium Fee per Person – Hotel do Frade*
Participant
Registration R$ 1.200,00
Registration plus Accomodation (single) R$ 2.800,00
Registration plus Accomodation (double) R$ 2.570,00
 

Qualified M.S, PhD Students and accompanying person
Registration R$ 400,00
Registration plus Accomodation (single) R$ 2.000,00
Registration plus Accomodation (double) R$ 1.770,00
 

Sponsors
Registration Free
Registration plus Accomodation (single) R$ 1.600,00
Registration plus Accomodation (double) R$1.370,00

*Values in R$ (1 Euro = 2.42 Reais  and 1 Dolar = 1.70 Reais in September 2008

Information for Bank Transfer
ABN AMRO Bank NV – New York
SWIFT Code: ABNAUS33
Account Number – 673001211441
Account holder:  ABN AMRO REAL - São Paulo – Brazil
SWIFT Code: ABNABRSP
Fundação Pátria
R. José Antonio Scaciota, 165
Portal do Cedro – Iperó – SP – Brazil
CNPJ: 71.558.068/0001-39
Bank Agency: 0639
Account Number: 8703672-2

Please send the deposit receipt by fax to Metallum: 55 11 3735-3772

Information for Credit Card Payment**

Visa

Hotel reservation must be done through the secretariat. Reservation will be accepted only upon the registration fee payment.