Eventos

Registration Form

Name*

City*	Province*

E-mail*

Postal Code*	Country*

Re-type your e-mail*

Affiliation*

Phone number*

Paper Title*

Address*

Registration:

Please indicate quantity of each item and add up for total. Additional lunches or dinner tickets can be purchased indicating quantities on the left hand column. Please note that the full registration already includes a dinner ticket. Extra (lunch and dinner) tickets will be sold at the conference site.

Payment should be made through bank deposit.

Qty.	Item	Early Registration (by October 20)	Late Registration
	Full Registration Includes basic registration package, 2 lunches and 1 conference dinner and proceedings	R$ 900,00	R$ 1.200,00
	Basic Registration* Includes all talks, keynotes and posters, 5 coffee breaks and proceedings. *One basic registration per paper is required.	R$ 600,00	R$ 900,00
	Additional lunches (each)	R$ 0,00	R$ 0,00
	Additional Conference Dinner Ticket (each)	R$ 0,00	R$ 0,00
	Total >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>	R$ 0,00	R$ 0,00

Important:

No credit card are accepted.
Payment should be made only through bank deposit to:
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Outside Brazil:
BANK OF BRAZIL
Account number: 001007280003625672
Swift code: BRASBRRJRJO
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Inside Brazil:
Banco do Brasil
AG.: 0072-8 C/C: 362567-2
CNPJ: 27.770.569/0001-92
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Beneficiary: Instituto de lógica, Filosofia e Teoria da Ciência
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