Name (Last, First, Middle):
Title:
Name for Badge:
Organization:
Address:
City:
State:
Country:
Postal Code:
Phone (Work):
Fax:
E-Mail:
Emergency contact, name, phone, country:
Please list any special needs:
Dietary Requirements: Vegetarian   Other (Specify)
Attendee Type: Faculty  Student   Professional
Companion Name (Last, First):
Includes: Sunday dinner and poster wine reception, Tuesday evening awards banquet, morning and afternoon coffee breaks, luncheons on Monday and Tuesday, and admission to all conference sessions.
  Before May 10 After May 10
Member Euros 275.00 Euros 320.00
Non Member Euros 320.00 Euros 365.00
Guest (All meals) Euros 185.00 Euros 215.00
Guest (Evening Meals) Euros 110.00 Euros 130.00
Conference Fee. SubTotal Euros :
Please indicate with an -x- the trips in which you will participate and the number of tickets you want of each one:
Cordova Magic - June 12th. Number of tickets. Price per person: 70,00 euros, taxes included.
Alcazar and Monumental Seville - June 13th Number of tickets Price per person: 63,00 euros taxes included.
Optional Visits . Sub Total Euros :
Conference Fee. Sub Total Euros :
Optional Visits .Sub Total Euros :
TOTAL Euros :
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