Please complete form and email to Testa@agritrade.org
or fax it to the IPC at (202) 328-5133 by September 17, 2007.
PARTICIPANT INFORMATION Formatted
I will attend the Seminar as Non-Profit/ Academic- Fee of $150 US Dollars
I will attend the Seminar as Corporate- Fee of $300 US Dollars
Arrival Date and Time:____________________________________________________________________________
Departure Date and Time: _________________________________________________________________________
I am planning on reserving a hotel room for the following dates: ______________________________________________
The lodging site for the 40th IPC Seminar is:
Menzies Welcombe Hotel Spa & Golf Club
Warwick Road, Stratford-Upon Avon, Warwickshire, CV370NR, United Kingdom
Tel No: 01789 295252, Fax No: 01789 414666, Email: email@example.com
Please make your reservation at your earliest convenience, as the hotel is filling up quickly. The rate at the hotel is ₤150 per night
for a single room. All these rates include breakfast. IMPORTANT: When reserving a hotel room make sure to ask for the
International Policy Council (reference number KX20552) rate and room block.
Citizens requiring an invitation letter or other support in obtaining a visa should contact Amy Testa at
More details, specific costs, and visa application, visit http://www.ukvisas.gov.uk
PAYMENT: Please remit all IPC program fees to the IPC by September 17, 2007.
Checks (in U.S. dollars) payable to International Policy Council, and mailed to 1616 P St, Suite 100, Washington DC 20036 Formatted: Bullets and Numbering
Wire transfers may be sent directly to the IPC’s account at Citibank
1225 Connecticut Ave. NW, Washington, DC 20036
Account Number: 15171930; Routing Number: 254070116; Swift Code: citius33
MasterCard and Visa are also accepted (Please list card information below) Formatted: Bullets and Numbering
Type of Card: (Circle one) MC VISA CC# ___________________________________________________________
Expiration Date: (mm/year) ___________________ Signature: _______________________________________________
Cardholder’s Name (Please Print): _______________________________________________________________________
PERSONAL CONSIDERATIONS: Please describe any special dietary needs or other special needs or requests below.