Application form for registration

I want to register for the next conference to attend to the following events
(Deseo registrarme para la próxima conferencia a los siguientes eventos)

Please check which event(s) you wish to attend and complete to form.

  Seminar (Seminario) (October 22-24, 2005)

Workshops (October 25, 2005) (Note you cannot attend the workshops if you take the Seminar)

  Workshop 1 (Taller 1)
  Workshop 2 (Taller 2)

Conference (Conferencia)

  Just as an attendee (Solo como asistente)
  Attendee with a presentation (Con una presentación)

If you come just as an attendee, please complete the following information and submit your application ((Si usted viene solo como asistente, por favor complete la siguiente información)

*Your full name (Nombre):  
*Society Username              
 Company (Compañía)        
*Country (País)                    
 Contacts (Contactos)
      *E-mail address             

       Telephone #                  
       Fax #                             

* Indicates required information

If you come with a presentation, please complete the following information
(Si usted viene con una presentación, por favor complete la siguiente información)

Title (Título)         
Author(s)(Autor)   (You can include all                               authors but making a mark * to the main one/Se puede incluir a todos los autores                               pero hacienda una marca * al principal)
Main Author Society Username     Required
Company (Compañía)                      (Just for the main author/Solo para el                                                         autor principal)
Country (País):                              

Contacts (Contactos) (Just for the main author/Solo para el autor principal) 
      *E-mail address                           Required

       Telephone #                             
       Fax #                                        

Abstract (Resumen): (No less than 100 words/No menos de 100 palabras)
                                   

Way for presentation (Modo de presentación)    Oral    Poster

In case of oral presentation, please mark the required time
(En caso de presentación oral, por favor marque el tiempo requerido)

                   15 Minutes                    25 Minutes                    35 Minutes

TO SUBMIT THIS INFORMATION TO THE ORGANIZING COMMITTEE
(PARA ENVIAR ESTA INFORMACIÓN AL COMITÉ ORGANIZADOR)

                                                                                                  

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