I FIELD WORKSHOP IGCP 450

XI SIMPÓSIO DE GEOLOGIA DE MINAS GERAIS

Belo Horizonte, Brazil, September 27-October 3, 2001

REGISTRATION FORM

 

Name.................................................................................... ........................ male ( ) female ( )

Name for badge........................... ....................... .......................

Company, Institution:................................................................

Address:............................................................................................................

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City: ..................... State:..............................

Zip Code:........................ Country:......................................

Telephone:.....................................FAX nş:.....................................

E-mail:...........................................................................................

I intend to register as:

Participant (US$ 80.00) ( )

Student (US$ 45.00) ( )

Registration fee also includes the Symposium and can be paid in the same day of the inauguration.

Lunches are included for the days 27, 28 and 29, in the convention center

Please, send me a letter of invitation ( )

I submit: an abstract (attach electronic file to: igcp450@cpgg.ufba.br) ( )

Title:

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I am interested in the fieldwork (US$ 50.00): ( )

(Hotel and meal not included)

I am interested in the short course (US$ 100.00) 1 ( ) 2 ( ) 3 ( )

Please, type or complete in print letters

Return before June 30, 2001 to:

Prof. Aroldo Misi

Centro de Pesquisa em Geofísica e Geologia (CPGG/UFBA)

Instituto de Geociências, Universidade Federal da Bahia

40210-340 Salvador, Bahia BRAZIL

E-mail: igcp450@cpgg.ufba.br

Fax : 55 – 71 – 247-3004

Tel.: 55 – 71 – 235-6789/237-0408