|
Please type or fill this
registration form out in legible handwriting and send a copy by mail or
fax to: (or click here for on-line version)
OPUS Soluções
Empresariais S/C Ltda V
A/C Comitê Organizador do CININTEL 2001
Rua Contos Gauchescos 55 - Sala 123 XEM
ZIP 04369-000, São Paulo, SP - Brasil;
Fone: +55 11 5565.0685 Fax: +55 11 5677.1610
Full Name _________________________________________
Title(Dr/Prof/Mr/Mrs)_______________
Name for the badge _______________________________________________ Sex
M_____ F____
Company ______________________________________________ Position ______________________
Address_____________________________________________________________________________
City __________________________________ State ________ Country _________________________
Zip Code _______________________________________ E-mail ______________________________
Phone (________) ________________________ Fax (________) _____________________________
Receipt to: ___Company ___Personal
CNPJ:__________________________________________ Insc. Est.:___________________________
Payment forms:
___ DINNERS ___ MASTERCARD
___VISA Number:____________________ Expiration: ________
Date ___/___/___ Signature
___________________________________________________________
Included in the values of
the registration: transfer Aiport x Rafain Palace Hotel x Airport transfers,
lunches of November 27 to 30, coffee-breaks, opening cocktail and welcome
dinner (with international show)
|
Registration |
until
22/10 |
after
22/10 |
|
|
|
|
| ___ |
Congress |
U$ 362,00 |
U$ 426,00 |
| ___ |
Workshop
Electrical Sector |
U$ 362,00 |
U$ 426,00 |
| ___ |
Congress
and Workshop Electrical Sector |
U$ 435,00 |
U$ 510,00 |
| ___ |
Short-course
(*) |
U$ 122,00 |
U$ 155,00 |
| ___ |
Teachers
and Students for Congress (**) |
U$ 192,00 |
U$ 225,00 |
| ___ |
Teachers
and Students for Congress and Workshop Electrical Sector (**) |
U$ 272,00 |
U$ 323,00 |
For each
5 registrations of a same Company, the 6th Registration in the Congress
will be free.
(*) The Short-courses have limited numbers of participant (All short-courses
will be presented only in Portuguese and subject to a minimum number of
participants).
(**) Teachers and post graduating students must provide documents proving
their situation.
Number of the mini-course
you wish to register in _______
Payment must be made in
the name of OPUS SOLUÇÕES EMPRESARIAIS
CNPJ 58.623.398/0001-00, in the UNIBANCO, AGENCY 0331 - Santa Catarina
- account Nº 820.025-4.
To consider the registration effective, a copy of the deposit voucher
must be remitted.
Obs. When the registration is made by a legal entity, from the amount
deposited in the account of
Opus Soluções Empresariais, 1,5% representing the discount
for the Income Tax must be retained as per art. 52 - Law 7450/83.
|
