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Fields in
red
are required
General Info
First Name
Last Name
Email Address
Cell Phone Number
Travel
Please complete all fields. We need this information to coordinate local transportation. If you are not flying to the meeting, enter "not applicable" for each field.
Date of arrival at Porto Alegre, Brazil Airport (MM/DD/YYYY)
Time of arrival at Porto Alegre, Brazil Airport (24-hour format, e.g. 14:40)
Airline Name
Flight Number
Via What Airport (Sao Paolo, Rio de Janeiro...)
Also, please provide your flight departure information for first leg of return trip:
Date of departure at Porto Alegre, Brazil Airport (MM/DD/YYYY)
Time of departure at Porto Alegre, Brazil Airport (24-hour format, e.g. 14:40)
Airline Name
Flight Number
Via What Airport (Sao Paolo, Rio de Janeiro...)
Miscellaneous
I am bringing others to the meeting with me (family, guests)
No
Yes
If yes, who?
Dietary restrictions
No
Vegetarian
Other -- please specify
Name tag - please indicate how you would like your name, institution and country displayed on your name tag:
Name:
Institution:
Country
Please check each box beside all items in which you are interested in participating. See the agenda (posted on the GLEON 10 web site) for more information.
Monday student-oriented workshop on sensors and buoys (open to all)
Monday early evening GLEON overview session
Friday field trip to mountain
If you are not a student and have attended at least one GLEON meeting, please answer the question below.
I would like to be a mentor to a student
No
Yes
Additional Information you would like to provide:
Tuesday, April 26, 2011
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