This form is only to be sent after payment, once you have in your e-mail inbox the confirmation of PayPal, if you paid with credit card, or once you have sent your invoice through fax or e-mail, if you paid by direct debit. If you fulfill this requests, please fill out this registration form, by selecting the adequate choice or filling out the blanks. If any problems or doubts, please contact us to info@musa.org.mx or download the registration form in PDF format, fill it and send it to registro@musa.org.mx .Thank you.

Personal Information

Los datos proporcionados serán los publicados en la lista de participantes, documentos y constancias.

Name:
Last Name:
Organization:
Position:
Full Address:
City:
State:
Country:
Postcode:
Phone:
Cellphone:
Fax:
E-mail Address:
Do you wish to have your name published in the assistance list?	Yes No

 

Registration Details

Do you wish to participate as a speaker?	Yes No
If your answer is "yes", in which Key Subject does your presentation fit in?
In which language are you planning to give your presentation?	Spanish English
In which Mode did you pay for the Conference?	Early Bird Registration ($2,500 MXN) Standard Registration ($3,000 MXN) Late Registration($3,250 MXN) Day-Registration ($1,000 MXN/Día) Student Registration ($2,000 MXN)
Which was your payment metod?	Credit Card Direct Debit
If you paid for an excursion, which of these was your choice?	Bridge of Ojuela Parras de la Fuente Cuatrocienegas Saltillo Bilbao's Dunes Bilbao's Dunes + Hot-air balloon ride Mexico City I didn't pay for an excursion

 

Accomodation and Stay

In which hotel are you planning to stay?	Camino Real Torreón Marriot Torreón Crowne Plaza Torreón Holiday Inn Express Torreón Calvete Hotel I don't know yet
To which city does your plane arrive?
How many days will you be staying in Torreón?
Are you planning to attend all the receptions and/or social events?	Yes, to all of themJust two of themJust one of themNo, I won't attend any of themI don't know yet
Additional Comments (Food allergies, special needs, etcetera):