Registration
Registration Form
Family Name:
Title:
Prof.
Dr.
Mr.
Ms.
Mrs.
First Name:
Organization:
Address:
Postal Code:
City:
Country:
Telephone:
Fax:
E-mail:
Conference Fee
Conference Fee include lunch and transportation for the period of the conference.
Registration
Up to November 15th, 2009
After November 15th, 2009
Non-student
100 USD
120 USD
Student fee*
Free
Free
* A letter or an e-mail from the instituation or the university should be attached
Payment
I will pay the amount by :
Credit Card
Credit Card Type
Master/Eurocard
Visa
American Express
Credit Card Number
-
-
-
Expiry Date
/
Name Cardholder
CVC Code*
*Master/ Eurocard holders: please note that you need to fill out your CVC code as well. This is a 3-figure code on the back of your credit card following the credit card number.
Bank
Bank Name : Bank Muscat - Al-Khuwair Branch.
Branch : Al-Khuwair Branch.
Bank Address: P.O. Box: 134 Postal Code: 112 Ruwi, Sultanate of Oman.
Account Name : University of Nizwa.
Account Number : 37- 405600081017
Swift Code : BMUSOMRXXXX
The word
Conference
should appear on the payment slip
by remitting the amount to the , account number 37- 405600081017 in favour of UvA Congresbureau SWIFT**: BMUSOMRXXXX
** Please state the full name of the participant on the bank transfer or cheque! Payments should be made in USD and without charges to the beneficiary.
Pay on arraival
Additional Instructions
Deadlines: Prepaid Advanced Registration must be electronically submitted, faxed or mailed no later than 15th of November 2009. Please use one form per person. If you should have problems registering, please contact the conference organiser(s)at nathelietra@unizwa.edu.om or vero@unizwa.edu.om
Payment Information: Registration forms must be accompanied by full payment in order to be processed.
Incorrect credit card numbers and declined credit cards are considered non payments and registration will not take place.
Refund policy:. Conference organisers should be notified of cancellations in writing.
If the Conference organisers receives cancellations after 1 December 2009, the conference fee will not be refunded. Please note that refunds will only be made after the conference.
If you cannot attend, you may send a substitute person in coordination with the conference oraganisers.
Confirmation: Please allow up to 10 days for mailed confirmation of your registration.
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