XXXIV Mexican Nuclear Society Annual Congress"

<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8"/> <title> XXXIV Mexican Nuclear Society Annual Congress" </title> <link rel="canonical" href="https://congresossnm.org.mx/us/preregister.html" /> <link rel="stylesheet" href="../us/style.css" type="text/css" media="screen"/> <link rel="stylesheet" href="../us/indexFiles/mbcsmbmcp.css" type="text/css"/> </head> <body> <center> <table width="1280px" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF"> <tr><td> <img src="../us/images/banner-us.jpg" width="1280px"> </td></tr> <tr><td> <table width="100%" border="0" cellpadding="0" cellspacing="0" bgcolor="#FFFFFF"> <tr><td align="left" bgcolor="#588AA5">   <div id="mbmcpebul_wrapper" style="max-width: 1280px;"> <ul id="mbmcpebul_table" class="mbmcpebul_menulist css_menu"> <li class="first_button"><div class="buttonbg gradient_button gradient60" style="width: 65px;"><a href="../us/index.html">Home</a></div></li> <li><div class="buttonbg gradient_button gradient60" style="width: 70px;"><a href="../us/topics.html">Topics</a></div></li> <li><div class="buttonbg gradient_button gradient60" style="width: 90px;"><a href="../us/technicalProgram.html" class="button_3">Technical<br/>Program</a></div></li> <li><div class="buttonbg gradient_button gradient60" style="width: 85px;"><div class="arrow"><a class="button_4">Venue</a></div></div> <ul> <li><a href="../us/cityVenue.html" title="">Host city</a></li> <li><a href="../us/hotelVenue.html" title="">Hotel</a></li> </ul> </li> <li><div class="buttonbg gradient_button gradient60" style="width: 80px;"><a href="../us/authors.html">Authors</a></div></li> <li><div class="buttonbg gradient_button gradient60" style="width: 90px;"><a href="../us/sponsors.html" class="button_6">Sponsors</a></div></li> <li><div class="buttonbg gradient_button gradient60" style="width: 150px;"><a href="../us/registrationFees.html">Registration Fees</a></div></li> <li><div class="buttonbg gradient_button gradient60"><a href="../us/participantInstitution.html" class="button_8">Institutions</a></div></li> <li><div class="buttonbg gradient_button gradient60"><a href="../us/organizingCommittee.html" class="button_9">Organizing<br/>Committee</a></div></li> <li><div class="buttonbg gradient_button gradient60"><a href="../us/contact.html">Contact us</a></div></li> <li class="last_button"><div class="buttonbg gradient_button gradient60" style="width: 116px;"><a href="../us/preregister.html" class="button_11">Pre-register</a></div></li> </ul> </div> <script type="text/javascript" src="../us/indexFiles/mbjsmbmcp.js"></script>  </td><td class="textVerdana2" align="right" valign="middle" bgcolor="#588AA5">  <a href="../mx/preregister.html"><img src="../us/images/mxFlag.png" width="25px">  <font face="verdana" size="2">Versión en Espa帽ol</font></a>      </td></tr> </table>  </td></tr> <tr><td> <table width="100%" border="0" cellpadding="5" cellspacing="0" bgcolor="#FFFFFF"> <tr> <td valign="top"> <br> <h1 id="tituloCentrado"><font color="#ED7D31">Pre-register form</font></h1> <p id="h1Grande"><center>Please fill out the following form with the requested data to register it in our database system.</center></p> <br> <form name="flogin" action="/" method="POST"> <center> <table border="0" align="center"> <tr> <td id="h1Grande">Name(s):</td> <td><input type="text" size="30" name="firstNameTxt"></td> </tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr> <td id="h1Grande">Middle Name:</td> <td><input type="text" size="30" name="middleNameTxt"></td> </tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr> <td id="h1Grande">Last Name:</td> <td><input type="text" size="30" name="lastNameTxt"></td> </tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr> <td id="h1Grande">Email:</td> <td><input type="text" size="30" name="emailTxt"></td> </tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr> <td id="h1Grande">Institution:</td> <td><input type="text" size="40" name="institucionTxt"></td> </tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr> <td id="h1Grande">Type:</td> <td> <font face="Verdana"> <center><table border="0" cellpadding="2"> <tr><td><b>Face to face Modality:</b></td></tr> <tr><td><input type="radio" id="radioSNM" name="tipoInscripcionTxt" value="Presencial - Socio SNM" checked>SNM Member ($5,000.00mxn)  <font size="1">Access to all activities and materials of the meeting</font></input></td></tr> <tr><td><input type="radio" id="radioSNM_Member" name="tipoInscripcionTxt" value="Presencial - No Socio SNM" checked>Non SNM Member ($6,500.00mxn)  <font size="1">Access to all activities and materials of the meeting</font></input></td></tr> <tr><td><input type="radio" id="radioStudentSNM" name="tipoInscripcionTxt" value="Presencial - Estudiante Socio SNM">SNM Student Member ($700.00mxn)  <font size="1">Access to all activities and materials of the meeting</font></input></td></tr> <tr><td><input type="radio" id="radioNotSNM" name="tipoInscripcionTxt" value="Presencial - Estudiante No Socio SNM">Non SNM Student Member ($1,000.00mxn)  <font size="1">Access to all activities and materials of the meeting</font></input></td></tr> <tr><td><input type="radio" id="radioSNM" name="tipoInscripcionTxt" value="Presencial - Socio SNM - 1 d铆a">1 Day - SNM Member ($1,500.00mxn)  <font size="1">Access to all sessions of one day</font></input></td></tr> <tr><td><input type="radio" id="radioSNM" name="tipoInscripcionTxt" value="Presencial - No Socio SNM - 1 d铆a">1 Day - Non SNM Member ($2,000.00mxn)  <font size="1">Access to all sessions of one day</font></input><br> </td></tr> <tr><td><b>Virtual modality:</b></td></tr> <tr><td><input type="radio" id="radioSNM" name="tipoInscripcionTxt" value="Virtual - Socio SNM">SNM Member ($2,500.00mxn)  <font size="1">Virtual personalized access to all sessions of the meeting</font></input></td></tr> <tr><td><input type="radio" id="radioSNM_Member" name="tipoInscripcionTxt" value="Virtual - No Socio SNM">Not SNM Member ($3,250.00mxn)  <font size="1">Virtual personalized access to all sessions of the meeting</font></input></td></tr> <tr><td><input type="radio" id="radioStudentSNM" name="tipoInscripcionTxt" value="Virtual - Estudiante">SNM Student Members or non-members ($500.00mxn)  <font size="1">Virtual personalized access to all sessions of the meeting</font></input></td></tr> <tr><td> </td></tr> <tr><td><input type="radio" id="radioSNM" name="tipoInscripcionTxt" value="Patrocinador">Sponsor</input></td></tr> <tr><td> </td></tr> <tr><td><input type="radio" id="radioSNM" name="tipoInscripcionTxt" value="Plenarista">Key Speaker</input></td></tr> </table></center> </font>  </td> </tr> <tr><td colspan="2"></td></tr> <tr><td colspan="2"></td></tr> <tr> <td colspan="2" align="right">  <center><input type="submit" value=" Send Pre-register "></center> </td> </tr> </table> </center> </form> <center> <table border="0" width="50%"> <tr> <td> <p align="justify"><font face="Verdana" size="3">Payments can be done in cash and credit card directly onsite or via wire transfer to:<br><br><b>Sociedad Nuclear Mexicana A.C.<br>Banco HSBC<br>Cuenta: 4002577997<br>CLABE: 021180040025779974</b><br><br>Once the payment is done, please send an email to:<br><b><a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="74171b1a001517001b34071b171d111015101a0117181115065a190c">[email protected]</a></b> with copy to <b><a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="c7b5a8a5a2b5b3a8e9aba8b7a2bd87aea9aea9e9a0a8a5e9aabf">[email protected]</a></b> with the electronic receipt and full contact information: full name, institution, e-mail and phone numer.</font></p> </td> </tr> </table> </center> </td> </tr> <tr><td colspan="2"> <br> </td></tr> </td></tr> </table> </td></tr> </table> </center> <script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body> </html>

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XXXIV Mexican Nuclear Society Annual Congress"