You are kindly requested to submit your registration form as soon as possible, preferably before  October 11, 2010  
         
        
            
                Registration and accommodation are handled by Top Atlântico DMC. 
                Complete one form for each participant and click "submit". Your Booking Form 
                will be automatically sent by e-mail. 
                 
                You can, alternatively, download the printable version available here 
                (Booking Form ), 
                fill it and send it by fax or mail. Questions or problems related with the registration and accommodation
                should be directly sent to: 
                 
             
         
        
            
                
                
                    
                        
                            Top Atlântico DMC 
                            Congress Department  
                            Att: Mr. Vitor Alves 
                            Av. Dom João II, Lote 1.16.1 - 1990-083 Lisboa 
                            Portugal 
                            Tel: (+ 351) 218 925 405 
                            Fax: (+ 351) 218 925 406 
                            E-mail: lisboa.congress@topatlantico.pt 
                         
                        
                            
                                 
                             
                         
                     
                 
                
             
         
        
            Fields with (* ) are mandatory. 
         
    
    
        
            
         
        
            
                
                
                    
                        Title 
                          
                        
                            
                                Mr. 
                                Mrs. 
                                Ms. 
                                Dr. 
                                Prof. 
                             
                         
                     
                    
                        Last Name 
                         *  
                         
                     
                    
                        First Name 
                         *  
                         
                     
                    
                        Institution 
                         *  
                         
                     
                    
                        Department 
                         
                         
                     
                    
                        Address 
                         *  
                         
                     
                    
                        City 
                         *  
                         
                     
                    
                        Postal Code 
                         *  
                         
                     
                    
                        Country 
                         *  
                        
                            
			        Please select one 
Afghanistan  
Albania  
Algeria  
American Samoa  
Andorra  
Angola  
Anguilla  
Antarctica  
Antigua and Barbuda  
Argentina  
Armenia  
Aruba  
Australia  
Austria  
Azerbaijan  
Bahamas  
Bahrain  
Bangladesh  
Barbados  
Belarus  
Belgium  
Belize  
Benin  
Bermuda  
Bhutan  
Bolivia  
Bosnia and Herzegovina  
Botswana  
Bouvet Island  
Brazil  
British Indian Ocean Territory  
Brunei Darussalam  
Bulgaria  
Burkina Faso  
Burundi  
Cambodia  
Cameroon  
Canada  
Cape Verde  
Cayman Islands  
Central African Republic  
Chad  
Chile  
China  
Christmas Island  
Cocos (Keeling) Islands  
Colombia  
Comoros  
Congo  
Congo, The Democratic Republic of The  
Cook Islands  
Costa Rica  
Cote D'ivoire  
Croatia  
Cuba  
Cyprus  
Czech Republic  
Denmark  
Djibouti  
Dominica  
Dominican Republic  
Ecuador  
Egypt  
El Salvador  
Equatorial Guinea  
Eritrea  
Estonia  
Ethiopia  
Falkland Islands (Malvinas)  
Faroe Islands  
Fiji  
Finland  
France  
French Guiana  
French Polynesia  
French Southern Territories  
Gabon  
Gambia  
Georgia  
Germany  
Ghana  
Gibraltar  
Greece  
Greenland  
Grenada  
Guadeloupe  
Guam  
Guatemala  
Guinea  
Guinea-bissau  
Guyana  
Haiti  
Heard Island and Mcdonald Islands  
Holy See (Vatican City State)  
Honduras  
Hong Kong  
Hungary  
Iceland  
India  
Indonesia  
Iran, Islamic Republic of  
Iraq  
Ireland  
Israel  
Italy  
Jamaica  
Japan  
Jordan  
Kazakhstan  
Kenya  
Kiribati  
Korea, Democratic People's Republic of  
Korea, Republic of  
Kuwait  
Kyrgyzstan  
Lao People's Democratic Republic  
Latvia  
Lebanon  
Lesotho  
Liberia  
Libyan Arab Jamahiriya  
Liechtenstein  
Lithuania  
Luxembourg  
Macao  
Macedonia, The Former Yugoslav Republic of  
Madagascar  
Malawi  
Malaysia  
Maldives  
Mali  
Malta  
Marshall Islands  
Martinique  
Mauritania  
Mauritius  
Mayotte  
Mexico  
Micronesia, Federated States of  
Moldova, Republic of  
Monaco  
Mongolia  
Montserrat  
Morocco  
Mozambique  
Myanmar  
Namibia  
Nauru  
Nepal  
Netherlands  
Netherlands Antilles  
New Caledonia  
New Zealand  
Nicaragua  
Niger  
Nigeria  
Niue  
Norfolk Island  
Northern Mariana Islands  
Norway  
Oman  
Pakistan  
Palau  
Palestinian Territory, Occupied  
Panama  
Papua New Guinea  
Paraguay  
Peru  
Philippines  
Pitcairn  
Poland  
Portugal  
Puerto Rico  
Qatar  
Reunion  
Romania  
Russian Federation  
Rwanda  
Saint Helena  
Saint Kitts and Nevis  
Saint Lucia  
Saint Pierre and Miquelon  
Saint Vincent and The Grenadines  
Samoa  
San Marino  
Sao Tome and Principe  
Saudi Arabia  
Senegal  
Serbia and Montenegro  
Seychelles  
Sierra Leone  
Singapore  
Slovakia  
Slovenia  
Solomon Islands  
Somalia  
South Africa  
South Georgia and The South Sandwich Islands  
Spain  
Sri Lanka  
Sudan  
Suriname  
Svalbard and Jan Mayen  
Swaziland  
Sweden  
Switzerland  
Syrian Arab Republic  
Taiwan, Province of China  
Tajikistan  
Tanzania, United Republic of  
Thailand  
Timor-leste  
Togo  
Tokelau  
Tonga  
Trinidad and Tobago  
Tunisia  
Turkey  
Turkmenistan  
Turks and Caicos Islands  
Tuvalu  
Uganda  
Ukraine  
United Arab Emirates  
United Kingdom  
United States  
United States Minor Outlying Islands  
Uruguay  
Uzbekistan  
Vanuatu  
Venezuela  
Viet Nam  
Virgin Islands, British  
Virgin Islands, U.S.  
Wallis and Futuna  
Western Sahara  
Yemen  
Zambia  
Zimbabwe 
                         
                         
                                       
                    
                        Tel 
                         *  
                         
                     
                    
                        Fax 
                          
                         
                     
                    
                        E-mail 
                         *  
                         
                                         
                    
                        Special diet requirements: 
                         
                         Vegetarian 
                     
                    
                        
                              Other (please specify):
                             
                         
                     
                        
                 
                
              
         
        
            
                
             
         
        
            
                
             
         
        
            
         
        
            
                
             
         
        
            
         
        
            
                
             
         
        
            
         
                
            
                 
        	    Participant registration includes attendance to all scientific sections, welcome reception, cultural moment, lunches (2 days) and coffee-breaks (2 days), conference dinner. Accompanying person registration includes welcome reception, cultural moment and conference dinner. 
                 
             
         
        
            
                
             
         
        
            
                
             
         
        
            
         
        
            
                 
        	    Rates are in Euros (€) per room, per night, including breakfast, VAT and taxes. These special rates are available only if booking is made and paid through Top Atlântico DMC. Reservation requests will be confirmed on a first come, first served  basis. If your choice is no longer available a similar alternative accommodation will be offered. 
                 
             
          
        
            
                
             
         
        
            
                
             
         
        
            
                
             
         
        
            
         
        
            
                 
        	    No minimum number of persons required. 
             
          
        
            
                 
                
             
         
        
            
                Total amount for optional sightseeing tours € 
                 
             
           
        
            
         
        
            
                Registration:  In case of cancellation, and provided that written notice is received by Top Atlântico before the 1st October 2010, 80% of the registration fee will be refunded. We regret that no refunds can be made for cancellations after that date. "Noshows" are non-refundable and are liable for the full registration fee.
                Accommodation and Tours:  All bookings must be fully prepaid. Requests received without payment will not be considered. Upon payment an official confirmation letter will be sent. Cancellations received before September 24th 2010 will be refunded after the congress, minus € 25,00 administrative fees. After this date no refunds will be made. All refunds will be processed until 60 days after the Conference.
             
         
        
            
         
       
            
                Total of sections D + E + F = €
                 
             
         
        
            
                Full pre-payment is required in order to confirm the booking. Upon payment a confirmation letter will be sent. 
             
         
        
            
                 
                 
                Certified Bank Cheque 
                
                    Made payable to Top Atlântico DMC (please fax copy of the certified bank cheque) 
                    Personal cheques are not accepted  
                    
                 
                 
                Swift Bank Transfer
                
                    (Please enclose copy of the bank order) to: 
                    Top Atlântico DMC 
                    Int. Bank Account Number: PT50 0033 0000 0000 8770 6440 5 
                    Swift Code: BCOMPTPL 
                    Bank: Banco Comercial Português 
                    address: Av.José Malhoa, Lote 1682, Piso 3, 1099-007 Lisboa, Portugal 
                     
                    
                     
                    (All bank expenses must be borne by the participant) 
                 
                 
                 
                Credit Card   
                After submit you will proceed to a secure web site to enter your credit card information           
                 
             
          
        
            
         
        
            
                
                
                    
                        
                            Information to issue the Receipt  
                             
                         
                     
                    
                        Invoice/receipt in the name of 
                         
                     
                    
                        Address 
                         
                     
                    
                        City 
                         
                     
                    
                        Country 
                        
                          
			        Please select one 
Afghanistan  
Albania  
Algeria  
American Samoa  
Andorra  
Angola  
Anguilla  
Antarctica  
Antigua and Barbuda  
Argentina  
Armenia  
Aruba  
Australia  
Austria  
Azerbaijan  
Bahamas  
Bahrain  
Bangladesh  
Barbados  
Belarus  
Belgium  
Belize  
Benin  
Bermuda  
Bhutan  
Bolivia  
Bosnia and Herzegovina  
Botswana  
Bouvet Island  
Brazil  
British Indian Ocean Territory  
Brunei Darussalam  
Bulgaria  
Burkina Faso  
Burundi  
Cambodia  
Cameroon  
Canada  
Cape Verde  
Cayman Islands  
Central African Republic  
Chad  
Chile  
China  
Christmas Island  
Cocos (Keeling) Islands  
Colombia  
Comoros  
Congo  
Congo, The Democratic Republic of The  
Cook Islands  
Costa Rica  
Cote D'ivoire  
Croatia  
Cuba  
Cyprus  
Czech Republic  
Denmark  
Djibouti  
Dominica  
Dominican Republic  
Ecuador  
Egypt  
El Salvador  
Equatorial Guinea  
Eritrea  
Estonia  
Ethiopia  
Falkland Islands (Malvinas)  
Faroe Islands  
Fiji  
Finland  
France  
French Guiana  
French Polynesia  
French Southern Territories  
Gabon  
Gambia  
Georgia  
Germany  
Ghana  
Gibraltar  
Greece  
Greenland  
Grenada  
Guadeloupe  
Guam  
Guatemala  
Guinea  
Guinea-bissau  
Guyana  
Haiti  
Heard Island and Mcdonald Islands  
Holy See (Vatican City State)  
Honduras  
Hong Kong  
Hungary  
Iceland  
India  
Indonesia  
Iran, Islamic Republic of  
Iraq  
Ireland  
Israel  
Italy  
Jamaica  
Japan  
Jordan  
Kazakhstan  
Kenya  
Kiribati  
Korea, Democratic People's Republic of  
Korea, Republic of  
Kuwait  
Kyrgyzstan  
Lao People's Democratic Republic  
Latvia  
Lebanon  
Lesotho  
Liberia  
Libyan Arab Jamahiriya  
Liechtenstein  
Lithuania  
Luxembourg  
Macao  
Macedonia, The Former Yugoslav Republic of  
Madagascar  
Malawi  
Malaysia  
Maldives  
Mali  
Malta  
Marshall Islands  
Martinique  
Mauritania  
Mauritius  
Mayotte  
Mexico  
Micronesia, Federated States of  
Moldova, Republic of  
Monaco  
Mongolia  
Montserrat  
Morocco  
Mozambique  
Myanmar  
Namibia  
Nauru  
Nepal  
Netherlands  
Netherlands Antilles  
New Caledonia  
New Zealand  
Nicaragua  
Niger  
Nigeria  
Niue  
Norfolk Island  
Northern Mariana Islands  
Norway  
Oman  
Pakistan  
Palau  
Palestinian Territory, Occupied  
Panama  
Papua New Guinea  
Paraguay  
Peru  
Philippines  
Pitcairn  
Poland  
Portugal  
Puerto Rico  
Qatar  
Reunion  
Romania  
Russian Federation  
Rwanda  
Saint Helena  
Saint Kitts and Nevis  
Saint Lucia  
Saint Pierre and Miquelon  
Saint Vincent and The Grenadines  
Samoa  
San Marino  
Sao Tome and Principe  
Saudi Arabia  
Senegal  
Serbia and Montenegro  
Seychelles  
Sierra Leone  
Singapore  
Slovakia  
Slovenia  
Solomon Islands  
Somalia  
South Africa  
South Georgia and The South Sandwich Islands  
Spain  
Sri Lanka  
Sudan  
Suriname  
Svalbard and Jan Mayen  
Swaziland  
Sweden  
Switzerland  
Syrian Arab Republic  
Taiwan, Province of China  
Tajikistan  
Tanzania, United Republic of  
Thailand  
Timor-leste  
Togo  
Tokelau  
Tonga  
Trinidad and Tobago  
Tunisia  
Turkey  
Turkmenistan  
Turks and Caicos Islands  
Tuvalu  
Uganda  
Ukraine  
United Arab Emirates  
United Kingdom  
United States  
United States Minor Outlying Islands  
Uruguay  
Uzbekistan  
Vanuatu  
Venezuela  
Viet Nam  
Virgin Islands, British  
Virgin Islands, U.S.  
Wallis and Futuna  
Western Sahara  
Yemen  
Zambia  
Zimbabwe 
	               	      
                         
                     
                    
                        Postal Code 
                         
                     
                    
                        VAT Number 
                         
                       
                 
                
             
                     
        
            
                
                
                    
                        
                     
                    
                                                   
                            
                            Personal travel insurance is strongly recommended, as the Organising 
                            Committee and Top Atlântico DMC act as agents only in securing 
                            hotels, transport and travel services and in no event shall be liable for acts or 
                            defaults in case of injury, damage, loss, accident, delay or irregularity of any 
                            kind whatsoever during arrangements organised through contractors or the employees 
                            of such contractors in carrying out services. Hotel and transportation services are 
                            subject to the terms and conditions under which they are offered to the public in 
                            general. 
                            The Organising Committee reserves the right to make changes where deemed necessary, 
                            without prior notice to parties concerned. All disputes are subject to the 
                            Portuguese law.
                             
                         
                     
                 
                
             
         
        
            
                 
                We suggest you print a copy for your records. 
                If you have chosen payment by credit card, after you click "SUBMIT" you will proceed to a secure 
                web site to enter your credit card information.