This form has to be filled by the presenting (and corresponding) author. Send it with your Abstract page by e-mail to Y. Kopelevich and O. F. de Lima or Fax the two pages to us trough 0055-19-32893137 or 0055-19-37885343. Please do this before March 06, 2003.

Note that only after notification of Abstract acceptance, by March 26, you are expected to fill the Registration Form and pay the Fees.

Name:_________________________________________________________________________

Institution:___________________________________________________________________________________
____________________________________________________________________________________

Address:_____________________________________________________________________________________
_____________________________________________________________________________________

City:________________________________ State/Province:__________________________
Country:______________________________

Zip Code:___________________ Phone Number:________________________

Fax Number:_________________________ E-mail:___________________________________

Name of Accompanying Person (if any): __________________________________________________________________________________________

Abstract title: ___________________________________________________________________________________________
______________________________________________________________________________