|1
CONGRESS REGISTRATION FORM
PERSONAL INFORMATION
FIRST NAME:
LAST NAME:
PREFIX
SELECTION:
Mr.
Miss/Mrs.
COMPANY/ INSTITUTE:
OCCUPATION:
TITLE:
REGISTRATION
GROUP:
Representative of a commercial company
(Standard Registration)
Academic
Student
CONTACT DETAILS
PHONE (Country Code –Area Code-Phone Number):
FAX:
MOB:
E-MAIL:
MAILING ADDRESS:
ZIP CODE:
CITY:
COUNTRY:
If your billing address is different from your mailing address, please specify it below.
COMPANY TITLE:
TAX OFFICE/TAX ID:
BILLING ADDRESS:
PARANTEZ KONGRE VE TUR. ORG. VE YAY. HİZM. LTD. ŞTİ.
Hadımköy Kavşağı, Atatürk Mahallesi, 531. Sokak, Ginza Corner Plaza, No:16/37 Kıraç Esenyurt - İstanbul/TURKEY
Tel: + 90 (212) 347 31 64
Fax: + 90 (212) 212 02 04
E-Posta: [email protected]
Web: www.grainafrica.org
|2
CONGRESS REGISTRATION FEES
PARTICIPATION FROM THE AFRICAN COUNTRIES
Representative of Commercial
Company (Standard Registration)
$ 500 USD
Academics*
$ 300 USD
Student*
$ 100 USD
PARTICIPATION OUTSIDE OF AFRICA
All Participants
$ 650 USD
* Academics and students are required to submit relevant document from their education and training institutions
at the ENTRANCE OF THE CONGRESS HALL. If the document is not submitted, standard registration procedure shall
be applied.
SERVICES INCLUDED IN THE REGISTRATION FEE*
REPRESENTATIVE OF A
COMMERCIAL COMPANY
ACADEMIC
STUDENT
Conference Bag
Conference Bag
Conference Bag
Lunch
Lunch
Lunch
Gala Dinner
Coffee Breaks
Coffee Breaks
Coffee Breaks
Shuttles Between the Contracted Hotels
and Conference Hall
Shuttles Between the Contracted
Hotels and Conference Hall
* ACCOMMODATION is not included in the registration fee. You can check available accommodation options on the
next section.
PARANTEZ KONGRE VE TUR. ORG. VE YAY. HİZM. LTD. ŞTİ.
Hadımköy Kavşağı, Atatürk Mahallesi, 531. Sokak, Ginza Corner Plaza, No:16/37 Kıraç Esenyurt - İstanbul/TURKEY
Tel: + 90 (212) 347 31 64
Fax: + 90 (212) 212 02 04
E-Posta: [email protected]
Web: www.grainafrica.org
|3
PAYMENT OPTIONS (ONLY FOR REGISTRATION FEE)
PAYMENT BY CREDIT CARD
CARD TYPE:
VISA
MASTER CARD
AMERICAN EXPRESS
CARD NO:
CVC NO:
OR
CARD HOLDER’S FIRST NAME & LAST NAME:
EXPIRY DATE:
COUNTER SIGNATURE:
DATE:
WIRE TRANSFER
BENEFICIARY NAME: PARANTEZ KONGRE VE TUR. ORG. VE YAY. HİZM. LTD. ŞTİ.
BANK
USD
AKBANK Profilo Branch (B.C.: 668)
Garanti Bank Metro Mecidiyekoy Branch (B.C.:723)
IBAN NO: TR10 0004 6006 6800 1000 1233 03
SWIFT Code: AKBKTRIS
Address: Atatürk Mah. 531. Sok. No:16/37 Kıraç Esenyurt - Istanbul / TURKEY
IBAN No: TR71 0006 2000 7230 0009 0786 17
SWIFT Code: TGBATRIS
Address: Atatürk Mah. 531. Sok. No:16/37 Kıraç Esenyurt - Istanbul / TURKEY
In order to complete your congress registration; please fill this form and fax to +90 212 212 02 04 or send e-mail us via
[email protected] Please do not forget to send us your payment bill together with the form.
PARANTEZ KONGRE VE TUR. ORG. VE YAY. HİZM. LTD. ŞTİ.
Hadımköy Kavşağı, Atatürk Mahallesi, 531. Sokak, Ginza Corner Plaza, No:16/37 Kıraç Esenyurt - İstanbul/TURKEY
Tel: + 90 (212) 347 31 64
Fax: + 90 (212) 212 02 04
E-Posta: [email protected]
Web: www.grainafrica.org
|4
ACCOMMODATION OPTIONS
SHERATON ADDIS A LUXURY COLLECTION HOTEL*****
HILTON HOTEL*****
RADISSON BLUE HOTEL*****
CAPITAL HOTEL*****
HARMONY HOTEL****
SARO MARIA HOTEL****
KALEB HOTEL****
SIYONAT HOTEL****
MONARCH HOTEL****
AMBASSADOR HOTEL****
HAIKAN HOTEL***
WABE SHEBELLE HOTEL***
ACCOMODATION AND TRANSFER OPTIONS
For accommodation package and transfer options; please contact our solution partner “Shebelle Ethiopia
Conference Services” with Miss Yeabsira Matyas via;
E-mail: [email protected]
Tel: +251-116-630598/6632752 Ext. 29
PARANTEZ KONGRE VE TUR. ORG. VE YAY. HİZM. LTD. ŞTİ.
Hadımköy Kavşağı, Atatürk Mahallesi, 531. Sokak, Ginza Corner Plaza, No:16/37 Kıraç Esenyurt - İstanbul/TURKEY
Tel: + 90 (212) 347 31 64
Fax: + 90 (212) 212 02 04
E-Posta: [email protected]
Web: www.grainafrica.org
Download

congress regıstratıon form