REGISTRATION FORM


Register for the 19th IOPD Conference in Iztapalapa, Mexico City


*Mandatory

1. E-mail address : *

2. Full name: *

3. Country: *

4. Gender: *





5. Age *






6. Education level: *






7. Telephone contact number:

8. How did you learn about the 19th IOPD Conference? *







9. What is your mother language? (Select the corresponding option) *




10. Requires simultaneous translation service (Select all corresponding options) *







11. Type of participation: *



12. Organization that you represent:

13. Your position

14. Type of organization that you represent:







15. Field of the organization that you represent:




16. Describe its activities (100 words maximum)

17. Date of your arrival at Iztapalapa, CDMX:

18. Date of your departure from Iztapalapa, CDMX:

19. Where will you stay during the conference? (Place name and address)

20. Do you have any dietary restrictions?


21. Do you have any questions, comments or suggestions? We want to hear from you!