VI Intenational Conference of Biological Physics and V Southern Cone Biophysics Congress

Registration Form



Personal Information
Last Name: Name:
Title: Gender: Male Female
Institution:
Address:
City: Country:
E-mail:    
Telephone: Fax:

Registration Fee Up to 20th of June After 20th of June
Students* U$S 100 U$S 130
Participants from Developing countries U$S 150 U$S 200
Regular Fee U$S 350 U$S 400

Payment Options
Cash
Credit Card
Exp.Date:
  Sec. Code:
  Credit card number:
Bank Deposit No 1790025939
BROU UY MM ABA NY 026003324
Banco de la República Oriental del Uruguay
Dirección: Av. 18 de Julio 1670
Montevideo - Uruguay

Caja de ahorro en moneda extranjera
N 1790025939
Lourdes Alanis Vanelli

Hotel Reservations
SGL
DBL
Radisson (Venue) *****
 U$S 94 U$S 107
NH
U$S 65 U$S 65
Balmoral
U$S 40 U$S 46
Los Angeles
U$S 20 U$S 25
Iguazú
 U$S 18 U$S 23
    
 None
Check in date: Check out date:
Room Mate:   Room Mate’s name:

* Full time under graduated and graduated students. Please, send a certificate of your institution.
* No Credit cards will be accepted at the Conference. At the venue, registration payments will be only cash.
* Please, if you pay by a bank deposit, send by fax or by mail the deposit ticket, with your name written on it.