PPEPPD 2013

PPEPPD 2013 Registration

Thank you for your interest in attending PPEPPD 2013.
Payments are received via bank transfer to the following account:

Please contact the organization (ppeppd2013@plapiqui.edu.ar) for payment information

IMPORTANT: Please make sure that all bank charges are paid by the sender, so that the full amount of the conference fee is received. When making your bank transfer, please identify your payment with the following reference: "PPEPPD 2013 + your name". A copy of your deposit voucher should be sent by email to ppeppd2013@plapiqui.edu.ar

To complete your registration, please fill in and submit the following form. It requests information on your bank transfer; therefore, it is advisable to make the payment before filling in the form.

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Identification

*Last/Family Name:

*First/Given Name:

Submission ID: If you did not submit an abstract, leave this field empty

*Organization:

Contact Information

*Address:

*Postal Code:

*City:

*Country:

*Telephone:

Fax:

*Email:

Registration Details

*Registration Type:

Full Registration (USD 1760) Student Registration (USD 1160)

*Accompanying Persons: (Additional USD 1260 each)

*Single room lodging:

No Yes (Additional charge of USD 472 for full registrations and USD 577 for student registrations)

Deposit Information

*Deposit Date:

*Deposit Amount:

*Deposit Bank:

A scanned copy of the deposit voucher must be submitted to ppeppd2013@plapiqui.edu.ar with subject: Registration + Submission ID (or name). Registration will only be processed upon correct receipt of the deposit voucher.

Billing Information

Bill To:

Billing Address:

Travel Schedule

If you do not have this information yet, please submit it to ppeppd2013@plapiqui.edu.ar as soon as you confirm your arrival airport, date and time.

Arrival Airport:

Arrival Date & Time:

Departure Date & Time:

Comments

Comments:

User Verification

*Do the math: Click to reload image

Please check over your entries, making sure that all the information is correctly filled out. When ready, click on the Register button below once.