Personal information

First and last name:

E-mail:

Select the corresponding option*
    
Selecciona una opción.

* If there is no option select  “Other”

Place of origin:

 

Registration
Participants from Canada, United States,
Europe, Australia and Japan $ 300 USD

Participants of other countries
$ 250 USD
Students $ 125 USD I will not pay registration Fee *
A value is required.

* If you are not paying registration, select "I will not pay registration Fee"

Pre-Conference Workshops Payment
Participants from Canada, United States,
Europe, Australia and Japan $ 100 USD 		Participants of other countries
$ 75 USD
Students $ 50 USD I will not pay Workshops *
A value is required.
* If you are not paying Workshops, select "I will not pay Workshops"

Banquet payment
1 Person $ 30 USD 2 Persons $ 60 USD 3 Persons $ 90 USD

Contribution Funds

Student Support Fund $ 10 USD
International Travel Fund $ 10 USD
Lodging Payment
Reservation Number
Ammount to Pay:

Your payment will be

Total $ USD

Credit Card Banking Information

Your payment will be charged to your VISA or MASTERCARD Credit Card

Selects an option.Only selects an option.

Name of Credit Card holder:

Credit Card Number:

Expiration date: Month

Security code:

(The security code are the last three digits near your signature)

Total amount to be paid $ USD

   

Your payment is secure.
All information received is encrypted and protected
with a certificate of security emitted by the company.
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