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Please complete and fax to:
Conference Secretariat
Meetings, Exhibitions & Events Team, Inc.
Unit G3, AGCOR Building, 335 Katipunan Avenue
Loyola Heights, Quezon City, Philippines
Facsimile: (632) 436-6581
Confirmation of registration will be sent upon
receipt of registration fee payment.
Delegate
Title Professor Dr.
Mr. Ms.
Surname__________________________ Given
Name_________________________________
Affiliation_____________________________________________________________________
Business
Address_______________________________________________________________
________________________________________
Country_____________________________
Position_______________________________________________________________________
Telephone_________________
Fax_____________________ Email_____________________
Special Dietary Requirement
(Vegetarian___________________________________________
Accompanying Person
Title Mr. Ms.
Surname__________________________________ Given
Name____________________________________
Special Dietary Requirement
(Vegetarian)__________________________________________
Registration Fees
| |
|
Cut-off |
1st Early Bird
15 Sept 2008 |
2nd Early Bird
15 Nov 2008 |
After 15 Nov
2008
and On-Site |
|
Delegate |
US$150.00 |
US$200.00 |
US$250.00 |
|
Accompanying
Person |
US$75.00 |
US$75.00 |
US$75.00 |
|
|
Hotel Reservation
Check-in Date_________________ Flight
No.________________ Arrival Time______________
Check-out Date_______________ Flight
No.________________ Departure Time___________
Total
Nights of Stay _________________
Smoking Non-Smoking
Please tick the
appropriate box and indicate the required one-night
deposit
| |
|
Type of Room |
Room Rate |
One Night
Deposit |
|
Deluxe Single |
PhP5,000.00
nett |
|
|
Deluxe Twin /
Double |
PhP6,000.00
nett |
|
|
|
TOTAL
_________________
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