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Conference Registration Form


Cargo/Title:
 
Cuántos conferencistas más / How many other Conferee?
Conferencistas/
Conferees:
Nombres/
Names
Apellidos/
Last Names
Nombre de Gafete/
Badge Name
Registration Fee
$US
Conferencista 2/
Conferee 2
$US
Conferencista 3/
Conferee 3
$US
Conferencista 4/
Conferee 4
$US
 

$US
 
Será su presentación ingles or español? / Would you present in English or Spanish?
Traducción Simultanea / Simultaneous Translation?
 
Fax:
 
Usted necesitará transporte desde y hacia la conferencia? / Will you need assistance with ground transportation to and from the conference?
Necesita ayuda con alojamiento durante la conferencia? / Will you need assistance with lodging during the conference?

Comments:



Please add the code above before submitting
Por favro agregue el código de arriba antes de enviar la inscripción


* denotes mandatory fields on the form.


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