International Conference on Environmental History

RESPONSES TO CLIMATE AND WEATHER CONDITIONS THROUGHOUT HISTORY 5 de Maio de 2012 Faculdade de Cincias Sociais e Humanas, Universidade Nova de Lisboa FICHA DE INSCRIO (REGISTRATION FORM) Nome completo (Full name): Cargo (Job): Instituio (Organization): Morada (Address): Codigo Postal (Zip Code): E-mail: Localidade (City): Telefone (Phone):

NIF (necessrio para o recibo) (Fiscal Number (needed for the receipt)): Tipo de inscrio (Registration Fee): estudante (student): 10 outros (others): 25 Oferta especial para as primeiras 30 inscries: visita guiada ao Parque Natural da Serra da Arrbida, dia 4 de Maio de 2012, 13h00- 18h00. Special offer for the first 30 registrations: field guided trip to the Arrbida Natural Park on May 4, 13h00-18h00. Forma de pagamento (Payment): transferncia bancria para a conta (bank transfer to the following account): FCSH Unidades de Investigao NIB: 0781 0112 00000006399 80 BIC/SWIFT: IGCPPTPL IBAN: PT50 0781 0112 00000006399 80 Instrues de pagamento (payment instructions): Por favor, devolva a ficha de inscrio e o comprovativo da transferncia para ehistory@fcsh.unl.pt ou pelo correio para a morada: Environmental History Conference, Instituto de Histria Contempornea, FCSH-UNL, Av. de Berna 26-C, 1069-061 Lisboa. Caso se tenha inscrito como estudante, envie tambm cpia do carto de estudante. Please return the registration form and the receipt to ehistory@fcsh.unl.pt or by mail to: Environmental History Conference, Instituto de Histria Contempornea, FCSH-UNL, Av. de Berna 26-C, 1069-061 Lisboa. If you have registered has a student, please send also a copy of your student card. Certificado de participao (Attendance certificate): Sim (Yes): No (No):

Informaes adicionais (Further informations):ehistory@fcsh.unl.pt http://environmentalhistoryfcsh.blogspot.com/