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ATTACHMENT B

Registration Form

Title of the Paper

………...

Author/s (Name, Surname)

……….

Agency/ies represented

………...

Street ……… No

………...

Postal Code ……… City ……… State ……… Country …..

…..…………

Tel. ……… Fax ……… e-mail

………..

Theme of the paper

 THEMATIC AREA - A.

The contemporary port city and the new models of port-city relationships.

The regeneration of urban-port waterfronts

 THEMATIC AREA - B.

Teaching the port city

 THEMATIC AREA - C

The Latin-American port city

The paper will be sent to the Organization Offices:

 By mail on CD/DVD

 By email

 By courier

 Other

The undersigned authorizes (as per law DLG 196/2003 art. 7,13,23) the 1

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treatment and communication of his personal data, including any that may be requested in the future in addition to that requested above, to third parties exclusively for purposes involving the activity declared.

Date……… Signature……….

2

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