EAA Annual Conference '08
TITLE: Prof, Dr, Mr, Ms
SURNAME
FIRST NAME
STREET ADDRESS
CITY
POSTCODE
FAX NO
E-MAIL ADDRESS
UNIVERSITY/ORGANISATION
NAME/S OF ACCOMPANYING PERSON/S OR PERSONS YOU ARE SHARING ACCOMMODATION WITH
SPECIAL DIETARY REQUIREMENTS
PRE-CONFERENCE PARTICIPANT LIST ON WEBSITE
Due to the Data Protection Act, please indicate whether we can include your name in a pre-conference list of participants on the website. Yes: you may include my name; No: you may not include my name. Please click your option.
YesNo
LUNCHES
Lunches on conference days @ 8 Euros per lunch must be pre-booked and paid for together with your Registration fee.
Pls indicate in the following slot (18, 19, 20 September):
OPTIONAL SOCIAL PROGRAMME
If you and your accompanying person/s would like to participate in the optional tours and attend the Gala Dinner, please add the appropriate amount to your Registration Fee.
Please click your options.
Tuesday, 16th September 2008 Half-day (morning) tour of Valletta - The City of The Knights - 24 Euros
Wednesday, 17th September 2008 Half-day (morning) tour of The Three Cities - 24 Euros
Sunday, 21st September 2008 Full day tour of Gozo, The Isle of Calypso - 40 Euros
OPTIONAL GALA DINNER
Saturday, 20th September 2008 Conference Dinner at Villa Bighi - 48Euros. Please click your option.
GOZO PRE/POST CONFERENCE STAY
Please click your option.
If yes, please email the hotel of your choice:
For Ta' Cenc: tacenc@vjborg.com
For The Cornucopia: cornucopia@vjborg.com
ROOM TYPE: Single, Twin
FROM/TO
NO. OF NIGHTS
PRE & POST CONFERENCE TOUR TO SICILY
If yes, please indicate whether Tues. 16 or Sun. 21 Sept.
Full arrangements can be made by emailing: sales@traveldeals.com.mt
REGISTRATION
Please ensure you have read the section on Registration Fees on the main site before filling in this form.
PAYMENT SUMMARY
REGISTRATION FEE AMOUNT
OPTIONAL TOURS AMOUNT
GALA DINNER
TOTAL
Payment of Registration Fee has been effected as follows:
EITHER BY BANK DRAFT NO
DATE SENT
OR BY BANK TRANSFER DATED
AMOUNT IN EUROS
Please mail your bank draft / fax proof of bank transfer to:
Ms Lucienne Bugeja, Conference & Facilities Manager, Foundation for International Studies, St Paul's Street, Valletta, M A L T A Fax. [+356] 21 230551 Email: conferences@fis.org.mt
PAYMENT BY CREDIT CARD
If you do not wish to submit the following information online, please phone, fax or email it to Ms. Lucienne Bugeja.
Please click as appropriate.
VISAMASTERCARD
NAME OF CARD HOLDER
I AUTHORISE YOU TO CHARGE MY CREDIT CARD (AMOUNT IN EUROS)
CARD NUMBER
CVV NUMBER (last 3 digits at back of card)
EXPIRY DATE
FLIGHT RESERVATIONS: AIR MALTA OFFICIAL CARRIER
For those delegates who may have connecting flights, please ensure that you give your Malta arrival flight no. when filling in this form.
DATE & TIME OF ARRIVAL & FLIGHT NO.
DATE & TIME OF DEPARTURE & FLIGHT NO.
ACCOMMODATION Please ensure you also fill in the accommodation booking form which is accessible from the main site. You must fill in two forms in order to register for the conference and book your accommodation.
You may when done, or if you want to start over.
