Please complete one form per participant and submit before 10 April 2012!
Compulsory fields are marked with (*)
Personal Details |
| First name (*) |
Invalid Input |
|
| Last name (*) |
Invalid Input |
|
| Organisation |
Invalid Input |
|
| Address (*) |
Invalid Input |
|
|
Invalid Input |
|
|
Invalid Input |
|
| Country (*) |
Invalid Input |
|
| Phone |
Invalid Input |
|
| Fax |
Invalid Input |
|
| E-mail (*) |
Invalid Input |
|
| Preferred Language (*) |
Invalid Input |
|
| Second Language |
Invalid Input |
|
| Third Language |
Invalid Input |
|
| Accessibility Requirements |
Invalid Input |
|
| Preferences |
Invalid Input |
|
Registration for associated meetings
|
|
Invalid Input |
|
Registration Fees
|
| I am a (*) |
Invalid Input |
|
| Upon registration, all participants will receive a confirmation including the payment details for their fees, which have to be paid within two weeks. Only after receipt of the full fee, the registration becomes valid. |
Hotel accommodation
Inclusion Europe has pre-booked a number of hotel rooms in four hotels. They are reserved following first-come, first served. The prices indicated are per night per person including breakfast and all taxes.
I wish to book accommodation as follows (*):
|
|
|
Invalid Input |
|
| I need a |
Invalid Input |
|
| Arrival Date |
Invalid Input |
|
| Departure Date |
Invalid Input |
|
| Participants will be contacted by the Thon hotel or the Resotel Agency for further details regarding their reservation. Thon or Resotel will process all hotel reservations directly.
|
| Additional Information |
Invalid Input |
|
N.B.: The organizers do not accept any responsibility for personal or property damage to the participants. Participants take part in this event entirely at their own risk.
|
|
. |