SECOND
|
CONFERENCE REGISTRATON FORM
(AUA) |
For official use only Reg. No. : _______
|
PERSONAL INFORMATION |
Please in CAPITAL letters
( ) Mr. ( )
Mrs.
Last Name:___________________________ First Name:
_____________________
Position: _____________________________________________
Company/Institution:____________________________________
Street/P.O. Box: _______________________________________
City: ___________________ Zip Code: _______________
Country:_____________
Telephone: ______________ Fax: ____________________
E-mail: _____________
Nationality: ______________________
|
ACCOMPANYING PERSONS REGISTRATION |
1. Last
Name: __________________ First Name: ___________________________
2. Last Name: __________________ First Name:
___________________________
|
REGISTRATION FEES |
CONFERENCE: Before arrival On
Attendee(s): US$
300.00 US$ 350.00
|
SPECIAL INTEREST GROUP |
[ ] Hospitality
Industry
[ ] Government
[ ] Security
[ ] Other private
|
METHODS OF PAYMENT |
Total amount in US$ ___________
[ ] Cash on Arrival
[ ] Certified cheque
(Payable to ARUBA HOSPITALITY &
SECURITY FOUNDATION
and must be
received by May 26, 2008)
[ ] Credit Card <
> Visa < > Diners < > Master Card < > AMEX
Credit Card #
__________________________ Exp.
date:_________________
Credit Card
holder name:____________________________________________
Credit Card
holder signature:________________________________________
Please fill out this form and fax to Mrs. Anky Bruin at AHATA, Fax # (297) 582 4202
For additional information, please contact: