International Conference on Public Participation and Information Technologies

ICPPIT-03

Registration Form

(important: please DO NOT write special characters, like º ª » ç ã á à, etc.)

Name:
Affiliation:
Position: *	Field: *
E-mail:
Address: ("snail" mail)
Telephone:

I am presenting a paper / poster Yes No
(If the answer is YES, you must also fill these additional fields)
Resources:	Please briefly enumerate estimated resources needed for your presentation:	My paper will be: Paper Type: (see paper guidelines)

Regist. Class:	(see info on registration class)
Affiliate ID:	(# only for MIT or CITIDEP card ID)
Payment:	$ USD. I am sending payment through:
Credit Card on-line Bank check (payable to MIT and sent to MIT address)
(If you selected credit card payment, you must send this form (click on "send" below), but you must also fill the credit card web form in our credit card on-line service. Thank you.)

PLEASE NOTE: After clicking "send", you should see the following message: " Thanks for registering, it will be processed soon". If you do not see this message, try again or contact us by email. Thank you.

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