Conference Request Form

BLANKS MARKED WITH * ARE REQUIRED!

Name of the school, agency, institution or organization*:
It is a non-profits organization?* Yes No
Telephone: , Fax:
Number of persons participating in the activity: , educative level:

Tentative dates for the activity (two or more dates):

Available time for the activity:
The conference will be placed at:
UPRM
Virtual Conference
Other Place
(specify address):
Comments:

Applicant Information:

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Free to government agencies and nonprofit entities.
Private entities must process a payment of $50.00 per hour, including the time of transportation.