Please fill in the form below, with general information, to facilitate updating our records:

REGISTRATION FORM

for

1999 GRFM/GBFM AND InSAR PI MEETING PARTICIPATION

NAME AND SURNAME:

INSTITUTION:

INSTITUTIONAL ADDRESS:

TELEPHONE:

FAX:

E-MAIL:

PLEASE TICK AS APPROPRIATE:

I will be attending the Manaus field trip on November 15/16

NOTE: FOR THOSE OF YOU WHO ARE PLANNING TO GO TO MANAUS, PLEASE CHECK
WITH VARIG AIRLINES IN YOUR CITY FOR THE VARIG AIRPASS (sometimes the Hotel rates are included in the package).

I would like to meet INPE's staff members prior to the beginning of the meeting

My area of interest is:

I am planning to make a presentation about my project results

PRESENTATION TITLE:

If positive, I need:

overhead projector data show video projector
movie projector other (please specify):

I need an official invitation letter to attend the meeting

I am planning to stretch my weekend in the neighbourhood of Sao Jose

OPTIONAL:

HOME ADDRESS:

HOME TELEPHONE NUMBER:

NOTE: This form is available if you use Internet Explorer 4.0 over or Netscape Navigator having the mail function. If not, please copy this page and after fulfilling all items return to mailto:dutra@dpi.inpe.br by email.