/120313153722_teconf2012_registration_form

Page 1

REGISTRATION

25th AFA Int’l. Tech. Fertilizers Conference

June 26 - 29, 2012 Beirut Crowne Plaza Hotel, Lebanon

Sustainability Driving the Future

Name for Badge First Name

……………………………………

Family Name

………………………........

Position

…………………………………………………………………….……..………………..……………

City

………………………………………………………………….……………………..……………..…

Telephone

(Including Country Code)

Email

…………………………………………………….……..........……………………………….…….

………………..…...…..................…………….

REGISTRATION FEE

(Clear Letters in the separate fields)

Organization

…………………………………………..……………………………………

Country

………………………………………..………………………………………

Fax

(Including Country Code)

……………….…..................…

Spouse Name BADGE (Clear Letters in the separate fields) Please do not publish my contact details on website list of delegate

Delegates are entitled to:

Please Check the Appropriate Box:

(I) AFA Members

$ 750 / per delegate

Attendance all conference sessions;

(II) Non AFA Members

$ 1500 / per delegate

Access the exhibition area

Attendance at all official social events

Lunches and coffee breaks;

Conference bag, presentations on CD.

Accompanying spouses are most welcome

N.B: Spouses are welcome without registration fee

PAYMENT METHODS Cheque To the order of Arab Fertilizer Association (please include delegate’s name attached with cheque)

Bank Transfer To Arab Fertilizer Association (AFA) Account Number:20‐9040010‐8 Swift code: CIBEEGCX‐020 Commercial International Bank – (EGYPT) S.A.E Nasr Road ‐ Nasr City‐ Cairo ‐ Egypt

Bank Transfers should include : • Name of the Company • Delegate Registration Reference • 25th AFA Int’l. Tech. Fertilizers Conference (All transfer charges must be bome by the transferor)

Credit Card Cash Payment

The conference fee does NOT cover travel, accommodation expenses and incidental personal expenses.

Cancellation & Refund Policy: Cancellation must be received in writing prior to Jun. 13,2012 to qualify for a full refund less US$ 60 administration fee. Cancellations within two weeks of the start of the Forum will not qualify for a refund.

Conference Services: Arab Fertilizers Association P.O. Box 8109 Nasr city (11371) Cairo, Egypt Tel.: (+202) 24172347,49 Fax: (+202) 24173721‐ (+202) 24172350 Email: info@afa.com.eg Website: www.afa.com.eg



Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.