Register your interest Full Name Position Company Address Post Code Company name in Brazil: Insc. Municipal CNPJ: / Estadual Tel: Email Number of places @ (R$ 100,00 / £ 24.00) EIC Members TOTAL: R$/ £ Number of places @ (R$ 180,00 / £ 44.00) EIC Non-Members TOTAL: R$/ £ Additional Delegates: Names Job Title Emails Please select a method of payment: Identified Deposit Associação EICUK Rio | Itaú Ag. 8410 / CC. 06339-3 | CNPJ 03.941.315/0001-21 If you prefer to pay in the UK (by an International Credit Card) – Visa MasterCard Amex Other Card Number 3 security Expiry Date Start Date no. Name on card Card registered to house no. & postcode
Register your interest Full Name Position Company Address Post Code Company name in Brazil: CNPJ: Insc. Municipal / Estadual Tel: Email Number of places @ (R$ 100,00 / £ 24.00) EIC Members TOTAL: R$/ £ Number of places @ (R$ 180,00 / £ 44.00) EIC Non-Members TOTAL: R$/ £ Names Job Title Emails Additional Delegates: Please select a method of payment: Identified Deposit Associação EICUK Rio | Itaú Ag. 8410 / CC. 06339-3 | CNPJ 03.941.315/0001-21 If you prefer to pay in the UK – (by an International Credit Card) Card Number Expiry Date Start Date 3 security no. Name on card Card registered to house no. & postcode Visa MasterCard Amex Other