<table cellspacing="0" cellpadding="0" border="0" ><tr><td valign="top" style="font: inherit;"><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 24pt; color: maroon;">XI Encontro Nacional da EPFCL |AFCL-Brasil:</span></b><span style="font-size: 9pt; color: black;"></span></p>
<div>
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: black;"> </span><span style="font-size: 24pt; color: maroon;">O sintoma:
sua política, sua clínica</span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 24pt; color: black;"> </span></b><b><span style="font-size: 24pt; color: maroon;">Convidada
Internacional:</span></b><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 18pt; color: maroon;">Colette
Soler</span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 18pt; color: maroon;"> Coordenação
Nacional:</span></b><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 18pt; color: maroon;">Sonia
Alberti, Consuelo Pereira de Almeida e Georgina Cerquise </span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 18pt; color: maroon;">Coordenação Local:</span></b><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 18pt; color: maroon;">Andréa
Rodrigues e Sandra Mara Nunes Dourado</span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 18pt; color: maroon;">Coordenação da Comissão Cientifica:</span></b><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 18pt; color: maroon;">Lia
Carneiro Silveira</span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: maroon;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 24pt; color: maroon;">Local:</span></b><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: maroon;"> Hotel Praia Centro</span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 18pt; color: maroon;">Av. Monsenhor Tabosa, 740 Praia de Iracema</span><span style="font-size: 13.5pt; color: maroon;"> / </span><span style="font-size: 18pt; color: maroon;">Fortaleza – Ceará</span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 18pt; color: maroon;"> </span><span style="font-size: 18pt; color: maroon;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: maroon;">Data:
29, 30 e 31 de outubro e 1 de novembro de 2010.</span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 13.5pt; color: maroon;">Formas de pagamento:</span></b><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">Depósito bancário em
nome da: Associação Fóruns do Campo Lacaniano. Banco Unibanco
Agência: 0598 | Conta corrente 120.121-2 </span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">Após efetuado o
depósito, enviar imediatamente seu comprovante, especificando o NOME do
inscrito, para Rua Goethe, 66 - 2º andar</span><span style="font-size: 13.5pt; color: black;"> Rio de Janeiro -
RJ | Cep.22281-020 </span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><b><span style="font-size: 13.5pt; color: maroon;">Informações
com Célia da Silva:</span></b><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">telefone
[55][21] 2286-9225
[55][21] 2286-9225 / telefax [55][21] 2537-1786 </span><span style="font-size: 13.5pt; color: black;"> <i>E-mail</i></span><span style="font-size: 13.5pt; color: black;">:</span><u><span style="font-size: 13.5pt; color: navy;">fclrj</span></u><span lang="EN-US"><a rel="nofollow" ymailto="mailto:secretaria@fcclrio.org.br" target="_blank" href="http://br.mc363.mail.yahoo.com/mc/compose?to=secretaria@fcclrio.org.br"><span style="font-size: 8.5pt; color: rgb(0, 64, 128); text-decoration: none;" lang="PT-BR">@fcclrio.org.br</span></a></span><u><span style="font-size: 13.5pt; color: blue;"> </span></u><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 13.5pt; color: red;">OBS:</span></b><span style="font-size: 13.5pt; color: black;"> Haverá
devolução de 80% do
valor total de uma inscrição, em casos de desistências ocorridas somente
até</span><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 13.5pt; color: black;">16/10/2010.</span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: black;"><br>
</span><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><b><span style="font-size: 18pt; color: maroon;">Prazos de pagamentos:</span></b><b><span style="font-size: 24pt; color: maroon;"> </span></b><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 7.5pt; line-height: normal; text-align: center;"><b><span style="font-size: 12pt; color: black;">Valores das inscrições antecipadas que
encerram dia 14/10/2010:</span></b><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 7.5pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><table class="MsoNormalTable" style="width: 100%; text-align: left; margin-left: auto; margin-right: auto;" width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody><tr style="">
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Prazo</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Estudantes</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Prazo</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Profissionais</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US"> </span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
75,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US"> </span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
160,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US"> </span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US"> </span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">A
partir de 01/04/2010</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
190,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">A
partir de 01/08/2010</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
100,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">A
partir de 01/08/2010</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 25%; border: 1pt inset; padding: 0cm;" valign="top" width="25%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
210,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
</tbody></table><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><u><span style="font-size: 12pt; color: black;">ATENÇÃO:
As inscrições antecipadas encerram dia 14/10/2010</span></u></b><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><b><span style="font-size: 12pt; color: black;">Inscrições
no Local:</span></b><span style="font-size: 9pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><table class="MsoNormalTable" style="width: 100%; text-align: left; margin-left: auto; margin-right: auto;" width="100%" border="0" cellpadding="0" cellspacing="0">
<tbody><tr style="">
<td style="width: 50%; border: 1pt inset; padding: 0cm;" valign="top" width="50%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Estudantes</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 50%; border: 1pt inset; padding: 0cm;" valign="top" width="50%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Profissionais</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 50%; border: 1pt inset; padding: 0cm;" valign="top" width="50%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
120,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
<td style="width: 50%; border: 1pt inset; padding: 0cm;" valign="top" width="50%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">R$
250,00</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
</tbody></table><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 12pt; color: black;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: maroon;"> </span><span style="font-size: 9pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><b style=""><span style="font-size: 18pt; color: maroon;">Agência de Turismo:</span></b></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 9pt; color: black;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">TIKTS BRASIL VIAGENS E TURISMO </span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> CNPJ : 08.573.916/0001-42 </span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> Rua Eduardo Garcia , nº 79 Sala
105 </span><span style="font-size: 13.5pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> Aldeota - Fortaleza - Ceará </span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> Cep : 60150-100 </span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">Telefones:
85 3262 5555
85 3262 5555</span><span style="font-size: 13.5pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">
85 3094 4444
85 3094 4444</span><span style="font-size: 13.5pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">Celular:
85 8765 5005
85 8765 5005</span><span style="font-size: 13.5pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">Claudemir: 85 8806 0807
85 8806 0807</span><span style="font-size: 13.5pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> e-mails : </span><span lang="EN-US"><a rel="nofollow" ymailto="mailto:jeane@tiktsbrasil.com.br" target="_blank" href="http://br.mc363.mail.yahoo.com/mc/compose?to=jeane@tiktsbrasil.com.br"><span style="font-size: 13.5pt; color: rgb(0, 64, 128); text-decoration: none;" lang="PT-BR">jeane@tiktsbrasil.com.br</span></a></span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">
</span><span lang="EN-US"><a rel="nofollow" ymailto="mailto:claudemir@tiktsbrasil.com.br" target="_blank" href="http://br.mc363.mail.yahoo.com/mc/compose?to=claudemir@tiktsbrasil.com.br"><span style="font-size: 13.5pt; color: rgb(0, 64, 128); text-decoration: none;" lang="PT-BR">claudemir@tiktsbrasil.com.br</span></a></span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">
</span><span lang="EN-US"><a rel="nofollow" ymailto="mailto:celiane@tiktsbrasil.com.br" target="_blank" href="http://br.mc363.mail.yahoo.com/mc/compose?to=celiane@tiktsbrasil.com.br"><span style="font-size: 13.5pt; color: rgb(0, 64, 128); text-decoration: none;" lang="PT-BR">celiane@tiktsbrasil.com.br</span></a></span><span style="font-size: 13.5pt; color: black;"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;">
</span><span style="font-size: 13.5pt; color: black;"></span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;"> </span><span style="font-size: 13.5pt; color: black;" lang="EN-US">Mensenger: </span><span lang="EN-US"><a rel="nofollow" ymailto="mailto:claudemirsousa06@hotmail.com" target="_blank" href="http://br.mc363.mail.yahoo.com/mc/compose?to=claudemirsousa06@hotmail.com"><span style="font-size: 13.5pt; color: rgb(0, 64, 128); text-decoration: none;">claudemirsousa06@hotmail.com</span></a></span><span style="font-size: 13.5pt; color: black;" lang="EN-US"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;" lang="EN-US"> </span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 13.5pt; color: black;" lang="EN-US">
site : </span><span lang="EN-US"><a rel="nofollow" target="_blank" href="http://www.tktbrasil.com.br/"><span style="font-size: 13.5pt; color: rgb(0, 64, 128); text-decoration: none;">www.tktbrasil.com.br</span></a></span><span style="font-size: 13.5pt; color: black;" lang="EN-US"></span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal; text-align: center;"><span style="font-size: 9pt; color: black;" lang="EN-US"> </span></p>
<div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: maroon;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><span style="font-size: 24pt; color: maroon;"> </span></p><div style="text-align: center;">
</div><p class="MsoNormal" style="margin-bottom: 5pt; line-height: normal; text-align: center;"><b style=""><span style="font-size: 18pt; color: maroon;">Ficha de Inscrição:</span></b><b style=""><span style="font-size: 18pt; color: black;"></span></b></p>
<div style="text-align: center;">
</div>
<table class="MsoNormalTable" style="width: 94%; background: none repeat scroll 0% 0% white; text-align: left; margin-left: auto; margin-right: auto;" width="94%" border="0" cellpadding="0" cellspacing="6">
<tbody><tr style="">
<td style="width: 100%; border: 1pt inset; padding: 0cm;" width="100%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Nome
completo:</span><span style="font-size: 9pt; color: black;" lang="EN-US"> </span><span style="font-size: 9pt; color: black;" lang="EN-US">--------------------------------------------------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 100%; border: 1pt inset; padding: 0cm;" width="100%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Nome
para o crachá:--------------------------------------------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 100%; border: 1pt inset; padding: 0cm;" width="100%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Endereço:</span><span style="font-size: 9pt; color: black;" lang="EN-US"> </span><span style="font-size: 9pt; color: black;" lang="EN-US">---------------------------------------------------------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
<p class="MsoNormal" style="margin-bottom: 7.5pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">CEP:
---------------------------------------------------------------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 100%; border: 1pt inset; padding: 0cm;" width="100%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Cidade:
-----------------------------------------------------------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
<p class="MsoNormal" style="margin-bottom: 7.5pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Estado: --------------------------------------------UF:-----------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 100%; border: 1pt inset; padding: 0cm;" width="100%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">Telefone:------------------------------------Celular:-----------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
<tr style="">
<td style="width: 100%; border: 1pt inset; padding: 0cm;" width="100%">
<p class="MsoNormal" style="margin-bottom: 0.0001pt; line-height: normal;"><span style="font-size: 12pt; color: black;" lang="EN-US">E-mail:
-----------------------------------------------------------------------</span><span style="font-size: 9pt; color: black;" lang="EN-US"></span></p>
</td>
</tr>
</tbody></table>
<div style="text-align: center;">
</div><span style="font-size: 12pt; color: black;"> </span></td></tr></table><br>
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