Committee members pre-registration form by dda29983

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									Committee members pre-registration form:
* Please pay attention about required information. The pre-registration will not be considered without
it. This information type is signed with an asterisk (*).

The pre-registration process to this group has two steps:
   1. Personal and participation data
   2. Work submission
Please, fulfill the required information before sending the pre-registration form.

1. Personal and participation data*:

       ( ) I am an INCT de Fluídos Complexos member.

       Name*
       Sex*       Male ( ) Female ( )
       Affiliation*
       Country*:
       e-mail*:
       Phone:*


2. Work submission*:
       ( ) I wish to present an oral communication.
       ( ) I wish to present a poster.
       ( ) I will not present a work.

       If you wish to submit a work, please answer*:
       Author(s) name(s) / affiliation(s)*
       Title*
       About your .PDF abstract file*:

                ( ) is attached to this e-mail.
                ( ) will be sent after works before the submissions deadline.



       ( ) I’m aware all my expenses with accommodation will be waived.

								
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