48th INTERNATIONAL CONGRESS
 OF AVIATION & SPACE MEDICINE

Rio de Janeiro, Brazil

 

ACADEMY DINNER REPLY

Tuesday, September 19th, 2000

 

Dear Academician:

 

For planning purposes for the Academy Dinner, the Organizing Committee would appreciate if you would fill in the following information, and return this form by fax or e-mail to the President of the Organizing Committee. (This is only necessary if you are attending the 48th Congress.)

 

Thank you for your cooperation.

 

PLEASE PRINT CLEARLY

 

Name of Academy Member:________________________________________

 

Yes, I will attend the Academy Dinner: ---------   Alone: "
                                                                     With a Guest: "
                                                                     Name of Guest___________________________

No, I will not be attending the Academy Dinner: "

Date:____________________ 

Signature___________________________________________      

 

Please return your reply to: Dr. Marco Montenegro
President, Organizing Committee, 48th ICASM
Rua Mário de Albuquerque, 380 - Condomínio Rio Mar I
Barra da Tijuca - Rio de Janeiro - Brazil - CEP: 22793-310

Fax: 5521 431-2391
E-mail: <montenegro@highway.com.br>

 

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