Nuclear safety and security | IAEA



REGISTRATION FORM

|First Name: |Family Name: |

|Organisation/Institute/Company: |

|Address: |

|Country: |

|Phone: |Fax: |

|Email: |

Registration Fees: 750 USD (Only for Exhibitors)

Travel VISA for Brazil:

- Invitation Letter is required ( Yes ( No

Optional Visit and Tour:

On Thursday 28 May 2015

- Visit to Angra NPS & Green Coast Road Tour ( Yes ( No

The payment of the fees must be done in US Dollar by bank transfer into the following banking account before setup of the exhibitors stand to the Brazilian Radiological Protection Society – SBPR representative, with formal receipt issued by SBPR.

Bank Information:

SWIFT of Banco do Brasil (Rio de Janeiro): BRASBRRJCGR

Account Number / IBAN: 001407380000079308.

Bank Address: 

Banco do Brasil - Branch Pedra de Itaúna

Av. das Américas, 10200 Bl 1 / Lj A/B 

Barra da Tijuca 

CEP 22793-082 - Rio de Janeiro - RJ 

Tel: +55 21 3410-5656

All exchange charges at your own expense

Date _______________________ Signature _______________________

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