REGISTRATION
FORM
to fill in block letters and return before
Mail to
CARLSON WAGONLIT TRAVEL EXPO
Dιpartement "Congrθs"
16, rue Ballu 75009 Paris France
Phone 33 (0) 1 55 07 26 23
Fax 33 (0) 1 47 20 07 30
Email : wcw@carlsonwagonlit.fr
1) DELEGATE |
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□M |
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Mrs |
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Miss |
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Last
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First
Name |
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Affiliation |
Tittle |
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Address |
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City |
Zip
code |
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Country |
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Phone |
Fax |
Email |
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2) REGISTRATION FEES
REGISTRATION
FEES IN EUROS
( VAT included )
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Advance
registration Before July 20th |
Late registration After July 20th |
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Members (1) |
340
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440
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Non-members |
440
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550
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Student Members / Life Members(1) |
265
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335
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Student Non-members |
340
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425
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Retired Members (1) |
340
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425
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(1) Members must indicate
their IEEE membersship number in order to be eligible for the reduction :
3) PAYMENT
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Total |
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● Registration fees |
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X |
= |
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□ cheque payable to CARLSON WAGONLIT TRAVEL EXPO/
C.S.V.T. |
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□ I
duly authorise you to charge my VISA INTERNATIONAL EUROCARD/MASTERCARD N°_ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
EXP _ _/_ _ |
No reservation will be made if the present form is
not accompanied by the corresponding payment.
… CANCELLATIONS
AND SUBSTITUTIONS
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Cancellations and
substitutions are allowed. However, full registration fees wil bee charged
unless a cancellation notice is sent in writing or postmarked on or before |
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A handling fee of 60 will
be applied to all canceled registrations. Please allow 10 weeks for
processing. |
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I have duly noted the registration and cancellation regulations and accept the conditions.
Date Signature