International Conference
"Glass Science in Art and Conservation", Lisbon, 19 - 20  September 2005
                                                       and
"Glass Art in Industry", Marinha Grande, 21 September 2005
"Glass History", Marinha Grande, 22 September 2005
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                Registration Form
(please fill in the registration form and return it following the instructions on the bottom)

Last name: _________________________________ First Name: _______________________

Company: _________________________________ Website: __________________________

Address: ___________________________________________________________________

Town: ____________________________________ Country: __________________________

Phone: ____________________ Fax: _________________ Email: ______________________

Accompanying persons: ________________________________________________________

REGISTRATION FEES

ACCOMMODATION
The official hotel for this conference is "Hotel Costa da Caparica", located at the sea front, at about
3 miles from the University. A shuttle will be provided in the morning and after the last session each day.
Please book directly with the hotel. (see link accommodation)
 

Please indicate whether or not you will attend the events at Marinha Grande. To register, mark
the Yes Boxes and indicate both the number of people who will attend and those accompanying them so
we can provide for your transportation there. Both events are held without charge. Those who register
will be contacted directly about hotel rooms in Marinha Grande.

_______________________________________________

Payment to Fundacao da Faculdade de Ciencias e Tecnologia should be made in Euros and sent with

this form or as a bank transfer to Banco Comercial Portugues; Please mention Glass 2005
Account number: 0033 000000023470897 05;
IBAN PT 50 0033 000000023470897 05; Swift address: BCOMPTPL

PLEASE FAX, E MAIL, OR SEND THIS FORM BY MAIL TO:
Mrs. Ana Maria Martins, email: amam@fct.unl.pt; Fax: 351 212948322;
Post to: Vidro e Cerâmica para as Artes, Faculdade de Ciencias e Tecnologia, UNL
Campus da Caparica - Quinta da Torre
2829-516 Caparica, Portugal

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