MARITIME INFRASTRUCTURE by 2SsvaW1L

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									                        MARITIME INFRASTRUCTURE
                         PROTECTION SYMPOSIUM
                                  (MIPS)
                           20-22 September 2011
                          REGISTRATION FORM
Welcome
         On behalf of the Sailors and Marines of United States Naval Forces Central Command
 (USNAVCENT), U.S. FIFTH Fleet and the Combined Maritime Forces, please accept our best wishes.
         This year’s Maritime Infrastructure Protection Symposium is the fourth hosted by USNAVCENT.
 The event brings together a wide audience of senior leaders from industry, security, navy, coast guard,
 and police to discuss ways to better protect critical resources in the maritime environment. This year’s
 theme is “A Multi-Agency Approach to Mitigating Maritime Infrastructure Vulnerabilities.” Your
 participation is highly desired.
         Thank you in advance for attending the 2011 Maritime Infrastructure Protection Symposium.
                                                Sincerely,
                                                M. I. Fox
                                                Vice Admiral, U.S. Navy
                                                Commander, USNAVCENT
Contact Information (One Registration Form Needed For Each Person)
 Please complete this form and send to USNAVCENT via email at MIPS2011@ME.NAVY.MIL.
 Last Name (Surname):
 First Name (Given):
 Rank:
 Title:
 Organization:
 Country:
 Email:
 Office Phone:
 Mobile Phone:

Symposium Admin

 What name do you want displayed on your symposium name tag?
 Do you desire a speaking role?                                         Yes –           No –
       (If yes, what topic do you wish to discuss?           )
 Do you need assistance obtaining a Bahrain Visa?                   Yes –         No –
       (If yes, include a color scan of your passport for processing by Bahrain Immigration.)
 Do you have any dietary restrictions?                                  Yes –           No –
       (If yes, please explain:       )


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Optional
  Alternate Point of Contact Information (secretary, aide-de-camp, assistant, staff officer, etc.)
  Name:
  Rank:
  Title:
  Organization:
  Country:
  Email:
  Office Phone:
  Mobile Phone:

Lodging / Hotel Information

  It is highly recommended that all MIPS participants stay at the Diplomat / Radisson Blu Hotel.
  Discounted rooms are available. Contact the hotel directly to reserve accommodations.

  The Diplomat / Radisson Blu Hotel, Residence, & Spa
  P.O. Box 5243
  Manama, Kingdom of Bahrain
  Telephone: +973-1752-5222, Fax: +973-17531633
  www.radissonblu.com/diplomathotel-bahrain

  The discounted rates are:      Standard Single Room = 65.000 BD (about US$164.50) per night
                                 Standard Double Room = 72.000 BD (about US$191.00) per night

Symposium Agenda

       Day One – 20 Sep                 Day Two – 21 Sep             Day Three – 22 Sep
  0800 Registration / coffee & tea 0800 Sign-in / coffee & tea  0730 Sign-in / coffee & tea
  0900 Opening remarks             0900 Presentations           0800 Working group
  1000 Presentations               1200 Lunch                        findings and Q&A
  1200 Lunch                       1330 Presentations / working 1030 Senior leader panel
  1315 Presentations / working          group discussions       1145 Closing remarks
       group discussions           1700 End of day two          1200 End of day three
  1700 End of day one              1900 Hosted reception
                           NO TRANSLATION SERVICES WILL BE PROVIDED
Need Additional Information?
 For more and updated information about MIPS 2011 visit: http://www.cusnc.navy.mil/mips
  U.S. Naval Central Command’s primary point of contact is LCDR Scott Cohick. He can be
  reached via email (mips2011@me.navy.mil) or phone (+973-1785-3477, DSN: 318-439-3477).
Symposium Fee
  US$20.00 or 7.600 BD fee per person. The symposium fee will be collected on 20 September
  2011. Cash only. Speakers are exempt from paying the fee. Please complete and submit this
  form by 12 September 2011 to ensure your attendance is reserved at this year’s Maritime
  Infrastructure Protection Symposium.


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