VI ENPLIRJ - REGISTRATION FORM

September 19th and 20th - UERJ


• Personal Details

Name:
 
CPF:
 
Address:
 
Telephone:
 
Fax:
 
E-mail address:
 
APLIERJ membership number:
 
Institution(s):
   

• Conference Fees

Registration before and on August 30th:

  • APLIERJ Members (2007 and 2008-fees paid) R$ 15 (  )

  • Non-APLIERJ Members or Members who haven’t paid the 2008-fee:

    • University Students: R$ 40 (R$ 20-event + R$ 20-membership*)

    • Teachers: R$ 50 (R$ 20-event + R$ 30-membership*)

 

Registration after August 30th:

  • APLIERJ Members (2007 and 2008-fees paid) R$ 25
     (  )

  • Non-APLIERJ Members or Members who haven’t paid the 2008-fee:

    • University Students: R$ 50 (R$ 30-event + R$ 20-membership*)
    • Teachers: R$ 60 (R$ 30-event + R$ 30-membership*)

*ENPLIRJ special discount – normal fees R$ 23 (university students) and R$ 33 (teachers).

 

Deposit: APLIERJ
Itaú Bank
Ag. 0408
Account: 42402-6

Please send the deposit receipt by e-mail (enplirj@aplierj.com.br), fax (2517-9214) or regular mail to:

VI ENPLIRJ REGISTRATION
Rua Santa Luzia, 735 – 2º andar – Rio de Janeiro – RJ – 20030-040
 
 
   
 
 
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