First Name*
Last Name*
Affiliation
Mailing Address*
Mailing Address
City*
ZIP Code*
Country*
email address*

I will stay at the "Iberostar Quetzal"	yes  no
	If yes: Room Type single  shared double  other
	If shared: With whom?*
	If no: Hotel Name*

Arrival day	Don't know yet	≤Nov27	Nov28	Nov29	Nov30	Dec1	≥Dec2
Arrival Information:   Flight Number      Arrival time
Departure day	Dec3 or before  Dec4  Dec5  Dec6  Dec7 or after

Registration Fee Payment*  ($320 if paid before Sep30, otherwise $370)
The Registration Fee includes a copy of the proceedings, a CD with all the talks and photos, utensils, conference dinner, excursion, transport to/from the airport, coffee breaks
Bank Deposit (wire transfer)   At the conference
Additional Conference Dinners	0  1  2     ($40 each)
Additional Excursion Tickets	0  1  2  3     ($35 each)

Did you submit a contribution?

No Contribution

Yes   Contribution number (if known)

I will submit one later

I would need financial support for Travel  Hotel  Registration Fee

Only limited support for participants from dis-favored countries and students is available.

Please use the "Comments" box to explain why you need support.

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