RIdIM CONFERENCE 2011

Salvador, Bahia Brazil, July 20-22, 2011

Registration Form
Please complete this form and return it as soon as possible but not later than June 30, 2011 by email to ridim2011@gmail.com. Confirmation of registration will be sent by email. Early Registration fee is valid only to April 30, 2011 and can only be paid by bank transfer (details see bellow). After April 30, 2011, the Regular Registration Fee has to be paid. This fee can be paid either by bank transfer or at the Conference Registration Desk.

Participant(s)
Early Registration Fee Regular Registration (valid to April 30, 2011)* Fee*** US$ 100 Accepted Paper presenter US$ 130 US$ 75 Accompanying person(s)** US$ 100 US$ 75 Listener/Visitor US$ 100 US$ 200 Exhibitor US$ 270 US$ 150 Exhibitors additional representative(s)* US$ 200 * Early Registration Fee can only be paid by bank transfer (details see below). ** Please indicate how many persons are being registered. *** Fee values in Brazilian Reais (R$) will be fixed according to exchange rates in July 2011. Students need to properly identify themselves to apply for 20% discounts.

Badge Information

MAGALHESCASTRO BEATRIZ UniversidadedeBraslia Professor

Surname(s)/Last name(s)* Given/First name(s)* Institution/Organization*

Position * Please enter the information as you want it to appear on your badge

Address of the Institution/Organization

UniversidadedeBraslia Street & Number CampusUniversitrioDarcyRibeiro Braslia City 70.910000 Postal/ZIP code Brasil Country 556131071113 Telephone Fax beatriz@unb.br E-mail I agree that my e-mail address is printed in the official participants' list (please check if yes)

Exhibition Stand booking

Quantity Prices (US$)* -Exhibition stand 1,000 -Internet access 40 * Values in Brazilian Reais (R$) will be fixed according to exchange rates in July 2011

Accompanying person(s) or Exhibitors additional representative(s)

Surname(s)/Last name(s) 1st additional person* Given/First name(s) 1st additional ------------------------------------------------------------person* Surname(s)/Last name(s) 2nd additional ------------------------------------------------------------person* Given/First name(s) 2nd additional ------------------------------------------------------------person* Surname(s)/Last name(s) 3rd additional ------------------------------------------------------------person* Given/First name(s) 3rd additional ------------------------------------------------------------person* Surname(s)/Last name(s) 4th additional ------------------------------------------------------------person* Given/First name(s) 4th additional ------------------------------------------------------------person* * Please enter the information as you want it to appear on the badge(s). -------------------------------------------------------------

Evening program attendance (always at 20:00 h.)

Please check the box(es) of the event(s) you like to attend. Event July 20: Opening Ceremony & Reception (included in registration fee) July 21: Evening concert (included in registration fee) # of persons 1 1

-- July 22: Farewell dinner (not included in registration fee)* -* Additional cost of US$ 35 per capita to be added in your registration payment or its equivalent in Brazilian Reais (R$) at the Conference Registration Desk.

Post-Conference Tours booking

Please indicate your preference in numerical order and how many places you want to book. Prices per person (to be paid during the conference) will be defined before the Conference, depending on booking numbers, and will be announced on the Conference website. Order Prices (US$)* # of tickets

----- Option 1 - A religious rendezvous (half-a-day) To be defined --------- Option 2 - A day over the Bay (1 whole day) To be defined --------- Option 3 - Visiting historical cities (2 days - 1 night) To be defined ----* Values in Brazilian Reais (R$) will be fixed according to exchange rates in July 2011

Registration fees (and selected options) amount

Please, list the price(s) and calculate the total amount of your registration (in US$). We appreciate your additional voluntary donation to the RIdIM Development Fund. Please add the amount you wish to donate. Participant(s) fee(s) Exhibition Stand booking Farewell Dinner Subtotal payment Donation to RIdIM Development Fund Total payment US$ US$ US$ US$ US$ US$ 100 ----------------------------------------------------------------------------100

No registration is complete until full payment has been made. Checks can unfortunately not be accepted. All bank costs are to be paid by the Conference participant(s). I will pay the aforementioned amount of US$ to the RIdIM bank account as indicated below.* I will pay the aforementioned amount of US$ at my arrival at the Conference Registration Desk in the equal amount of Brazilian Reais (R$)** * If you have chosen an Early Registration (valid until April 30, 2011), payment needs to be done by bank transfer (details see below) ** Due to Brazilian Federal Law we are required to accept payments only in Brazilian currency. --

For international payment use the RIdIM Bank Account information: RIdIM Bank: UBS AG, P.O. Box, CH-8098 Zurich Account-No.: 251-8328 1843 N Routing number: 251 IBAN: CH31 0025 1251 8328 1843 N SWITCH/BIC Code: UBSWCHZH80A

For payment from Brazil: Please contact us at ridim2011@gmail.com for local banking information.
Please indicate with your deposit your name and institution, and the detail RIdIM Conference 2011. Please make sure that your deposit also covers any additional bank costs.