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					        Ist INTERNATIONAL SEMINAR ON SUSTAINABLE
                    TOURISM IN BRASIL

                                 REGISTRATION FORM

Complete Name: ______________________________________________________
Name on Badge: _______________________________________________________
Adress: _____________________________________________________________
City:______________State:_________Postal-Code_________Country:____________
Telefone:(___)______________________Fax:(__)____________________________
E-mail:______________________________________________________________
Instituition: __________________________________________________________
Field of Activity: ______________________________________________________
Adress:____________________________________________________________
City:______________State:_________Postal-Code_________Country:____________
Telefone:(___)______________________Fax:(__)____________________________
E-mail: ______________________________________________________________

The registration fee of US$/Euro 70.— includes includes Conference Documentation,
Transportation to and from Conference Center, Coffee Breaks, Welcome Cocktail and Cultural
Night/Dinner and a banner of our organization. I will pay the registration fee according to
your instructions.

Date: …../………… / 2003           Signature: ________________________________________
----------------------------------------------------------------------------------------------------------
Hotel Accomodation:

SGLB:     Date check-in: …………………………….. Date check-out: ……………………………….
DBLB:     Date check-in: …………………………….. Date check-out: ……………………………….
Hotel Sunflower: ………        Less Expensive hotel: …… More Expensive Hotel:
Form of payment: Cash ………….              Credit Card ……
At the time of con firmation the hotel will contact you directly to settle payment details.

Banner:
We will have an exposition of banners (portuguese) about participating organizations. In the
case of organizations from abroad we will produce the banner for you with the artwork (text,
drawings, photos - banner size 90 cm x 105 cm) furnished by you, cost included in the
registration fee. More details after receipt of your registration.

Forward this form to: Esther terra@fortalnet.com.br or Fax 00 55 88 226 4154
or by snail mail:     Instituto Terramar
                      At. Esther Neuhaus
                      Rua Pinho Pessoa 86
                      60.135-170 Fortaleza, Ceará, Brazil

				
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posted:7/2/2011
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