Registration Form

IX Technical Seminar + Table-Top Expo & World Chlorine Council Global Safety Team (WCC GST)
November 16-18, 2016

HOTEL HILTON MADERO
Av. Macacha Guemes 351, Buenos Aires, C1106BKG, Argentina
TEL: +54-11-4891-0000 FAX: +54-11-4891-0001
Puerto Madero, Buenos Aires/Argentina

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RESGISTRATION FEES
MEMBERS
Before October 31th			US$ 500
After October 31th			US$ 600

NON-MEMBERS
Before October 31th			US$ 600
After October 31th			US$ 700
Indicate your participation
	Nov. 16, 2016	08:00 AM – NOON	Visit to TRANSCLOR Company (Pilar)
	Nov. 16, 2016	07:30 PM – 09:30 PM	Welcome Cocktail (Hilton Salón Terraza)
	Nov. 17, 2016	08:00 AM – 06:00 PM	Technical Seminar (Hilton Salón Pacara)
	Nov. 17, 2016	08:30 PM – 11:30 PM	Dinner & Tango Show (Café de los Angelitos) (*)
	Nov. 18, 2016	09:00 AM – 06:00 PM	WCC Global Safety Team (Hilton Salón Pacara)
(*) OPTIONAL- Price can change but the current participation fee is $ 90 US per person, with transportation from Hilton Hotel included.

EXHIBITOR
Table-Top Expo(*) US$ 1,500
(*) The exhibitor will be entitled to an inscription, individual and non-transferable

Company:
Name:
Email:
Date of payment:

Payment by BANK DEPOSIT Currency: USD
Correspondent Bank: Standard Chartered Bank – New York – USA/Swift (BIC CODE): SCBLUS33XXX Clearing Code: ABA 026002561/ CHIPS UID 0256 Account Number: 3544034644001 IBAN of the beneficiary: BR43 9040 0888 0398 4013 0000 253C 1 Swift (BIC CODE): BSCHBRSP	Beneficiary Bank: Banco Santander (Brasil) S.A. Beneficiary name: Associação Latino Americana da Indústria de Cloro, Álcalis e Derivados – CLOROSUR – CNPJ 02.876.284/0001-00. Avenida Chedid Jafet, 222 – Bloco C – 4º andar – CEP 04551065 - São Paulo – SP – Brasil. Agência nº 3984 – Conta nº 13.000025-3.