51st IFATCA Annual Conference 2012, March12th

Conference Registration Form

Registration Fee

	REGISTRATION CATEGORY (Select One)	UNTIL FEB 12th	AFTER FEB 12th
1	IFATCA Officers / Conference Officers	US $ 170	US $ 200
2	Director (1 Only)
	Category 1	US $ 170	US $ 200
	Category 2	US $ 170	US $ 200
	Category 3	US $ 160	US $ 180
3	Deputy Director (3 Only)
	Category 1	US $ 180	US $ 210
	Category 2	US $ 180	US $ 210
	Category 3	US $ 170	US $ 190
4	Delegates
	Category 1	US $ 200	US $ 230
	Category 2	US $ 190	US $ 220
	Category 3	US $ 180	US $ 200
5	Accompanying Persons
	Category 1	US $ 200	US $ 230
	Category 2	US $ 190	US $ 220
	Category 3	US $ 180	US $ 200
6	Observers/Individual Members	US $ 200	US $ 230
7	Corporate Members	US $ 200	US $ 230

Observers IFATCA Guests, VIPs, Speakers and EB Officials will attend the conference by invitation or approval of the EB.

Registration Fee Entitlements

a. Conference Kit and name tag. Conference kit may not be available to delegates who register on arrival in Nepal.
b. Transportation from the airport to the venue. from the venue to the airport from hotels to the venue and from the venue to the hotels
c. Welcome Cocktail Reception on March 11th
d. Lunch and tea-coffee breaks during March 12-16th
e. Farewell Dinner Reception on March 16th.

General Information

Name:

Registration Category :

Organization :

E-mail Address :

Telephone No :

Moblie No :

Passport No :

Nationality :

Country of Residence :

Flight Details

Expected Arrival Date :

Flight No.

Time

Expected Departure Date :

Flight No.

Time

Do you require Visa Recommendation Letter: Yes No

Note: Your arrival / departure information will be over-rid by information from the Accommodation Request Form.

Contact in Case of Emergency

Name

Telephone No :

Moblie No :

Registration Fee Payments

Registration Fee :

Mode of Payment

Bank Money Transfer Credit Card Transfer

Issue Bank :
Bank Money Transfer Reference	Date :
If you are transferring your payment through a bank transfer, please remit your registration fee to the following account:
Bank Name: Nabil Bank	Account Name: Nepal Air Traffic Controllers Association
Account Number: 9601017500216	Bank Swift Code: NARBNPKA

If you have paid online by credit card, your credit card statement will show the charge from www.thamelmall.com, the web-site management for IFATCA 2012.

Cancellation Policy

-	Full refund granted for cancellation before 10th Jan, 2012. US $ 45 shall be deducted toward any refund for administrative and credit card / bank charges
-	No Refund granted for cancellation after Jan 10th, 2012