Conference 2008
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Name:
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Email:
Institution
Choose type of registration
Member
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Choose type of Package
ANUPI 2008 Conference
ANUPI 2008 Conference-Hotel
Single Room
Double Room
If you choose Conference-Hotel package, please fill-in the following information:
Companion's Name:
Attends conference:
Yes
No
A separated registration form should be filled-in
,
in case your companion attends the conference
Date of your bank deposit:
Day
Month
Year
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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27
28
29
30
31
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January
February
March
April
May
June
July
August
September
October
November
December
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2006
2007
2008
Total of your bank deposit:
If you need an invoice, fill-in the following information, please:
Name or Company:
RFC:
Address
:
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