============= Beginning of Registration Form (cut here) ============= REGISTRATION FORM TO BE RETURNED BEFORE 15TH MAY 2000 TO: Meta Marketing e Eventos Ltda. c/o 15TH WORKSHOP ON ELECTROMAGNETIC INDUCTION IN THE EARTH Av. Nilo Pecanha, 50 - grupo 1610 20044-900, Rio de Janeiro Brazil Tel: +55-21-2202097 or +55-21-5240676 Fax: +55-21-2202305 E-mail: meta@domain.com.br Name:_____________________________________________________________ Mr/Ms:______ Organization:__________________________________________________________________ ___________________________________________________________________ Mailing Address:_______________________________________________________________ City:____________________ Postal Code:__________________ Country:______________ Phone:_________________________________________________________________________ Fax: _________________________________________________________________________ E-mail:________________________________________________________________________ Accompanying Person(s):1._________________________ 2:__________________________ REGISTRATION FEES: ------------------------------------------------------------------------------- | | Before May 15th 2000 | On and After May 15th 2000 | ------------------------------------------------------------------------------- | Full Delegate | US$ 150 | US$ 200 | ------------------------------------------------------------------------------- | Student | US$ 50 | US$ 70 | ------------------------------------------------------------------------------- | Accompanying Person | US$ 50 | US$ 70 | ------------------------------------------------------------------------------- * PAYMENT OF REGISTRATION FEES SHOULD BE SUMMARIZED IN PAYMENT FORM. -------------------------------------------------- | TOTAL REGISTRATION: US$ _____________________ | --------------------------------------------------