IUPAC Workshop
ELECTROCHEMISTRY AND INTERFACIAL CHEMISTRY IN ENVIRONMENTAL
CLEAN-UP AND GREEN CHEMICAL PROCESSES
6-7 April 2001
Hotel Meliá, Coimbra, Portugal

REGISTRATION AND ABSTRACT FORM

To be sent before 31 January 2001 to
Prof. Dr. C.M.A. Brett / IUPAC
Departamento de Química, Universidade de Coimbra, 3004-535 Coimbra, Portugal

PLEASE WRITE IN BLOCK CAPITALS

PARTICIPANT DETAILS
Last Name: …………………First name and initials…………………………….…Title…………….
Institution:....................................................................................................................................……….....
Address: .......................................................................................................................................……….....
                   City and Postcode........................................…...Country..............................................………..…
E-mail.:................................…...Tel.: ...................................…… FAX:	..................................... 

I wish to submit a contribution:  Yes    No
Title of contribution:………………………………………………………………………………………
Authors: ........................................................................................................................................…………
(Underline who will make the presentation)

POSTER ABSTRACT sent by the deadline of 31 January 2001:
by e-mail to brett@ci.uc.pt (as attached file in    Word    Word Perfect)
The poster abstracts of 200-300 words (maximum 1 page A4 including references, single spaced in Times New Roman 12 pt. within an area 15x24 cm) should be prepared as follows: Title: CAPITALS, one line space, Initials and Family names of authors, one line space: Author’s affiliation and mailing address, one line space: Text, one line space: References. The abstract will be reformatted to a uniform style for publication in the abstract volume. 
Maximum poster dimensions will be 84 cm wide x 120 cm deep.

Accompanying persons
Last name, first name and initials:………………………………………………………………………….

REGISTRATION FEE
The registration fee of 30000 Portuguese escudos (PTE) / 150 Euro of presenting authors must be sent by bank transfer together with the abstract and form by 31 January 2001. 
	Before 15 March 2001	After 15 March 2001		Amount remitted
(PTE or Euro)	
Participants	30000 PTE / 150 Euro	35000 PTE / 175 Euro		………………	
Accompanying Persons
 (each)	20000 PTE / 100 Euro	25000 PTE / 125 Euro		………………	
TOTAL				………………	
A total of ………….  PTE / Euro was remitted by bank transfer on   ……/…./………
Details of the bank transfer (free of bank charges) accompany this form.

Accommodation should be dealt with directly with Hotel Meliá (see workshop circular).

Date	…./…/….			Signature	……………………………………