ingles |

PERSONAL INFORMATION:

Name and Surname:

Professional Student ALPZA Professional Member

Institution :

ALPZA Institution Member :

Position :

Occupation :

Address :

country :

City :

postcode :

Phone :

include country and city code.
(example: 56-2-3334444)

Fax:

Email :

REGISTRATION :

Speaker Participant Stand Poster

For speakers only :

Title of the presentation :

For the presentation you will require

Datashow Other What? :

Participants (Optional) :

Date of arrival :

Time of arrival:

:

Means of transport :

Flight No.

City of origin :

Date of departure:

Are you interested to take a Post-Congress Tour : YES NO

Please tell us if you have any especial requirement (vegetarian, food allergies, etc) : YES NO

REGISTRATION :

International	Until September 15th, 2010	From the September 16th, 2010
Registration
Alpza members	US 180	US 200
Members of institutions that are alpza members	US 220	US 220
Students (accreditation needed)	US 100	US 120
Professionales	US 220	US 250
Stand for non-profit organisations and NGOS (product selling is not allowed)	US 300	US 500
Comercial stand / International Organisation	US 1000	US 1200

Chile	Until September 15th, 2010	From the september 16th, 2010
Inscripción
Miembro alpza	$90.000	$105.000
Perteneciente a asociaciones miembro alpza	$100.000	$115.000
Estudiantes (acreditados con carta o certificado de casa de estudios).	$50.000	$65.000
profesionales	$110.000	$130.000

* To complete registration you must send a copy of the deposit.