BOOKING FORM by xS4vaX4

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									                                   REGISTRATION FORM
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                13 International Scientometrics and Informetrics Conference

                                                  July 4-8th 2011
                                                    Durban-DUT, South Africa


           To Book: Please complete this form, one per participant, and fax to +27 (0) 35 902 6635 or email to
                                               dviljoen@pan.uzulu.ac.za
                                       or fax to email: Tel: +27(0) 86 604 5820
                                                Alternatively post to:
                                                     Daniela Viljoen,
                                                       ISSI 2011
                         University of Zululand, KwaDlangezwa X1001, Richardsbay, South Africa
                                        Telephone, Mrs. Viljoen: +27 (0) 35 902 6645

Delegate Details:
Title:             First Name:                                       Last Name:


Job Title:                                                           Organisation Name: (for name badge)


Address for Correspondence:




  Post Code:
Is the above address: Work/Home (please delete as applicable)

Email:                                                               Telephone Contact Number:

Is the above email address: Work/Home (please delete as applicable)
By agreeing to attend, ISSI 2011 will use your email or correspondence address to communicate with you regarding the event.

Accompanying person’s name:
Title:        First Name:                                            Last Name:




Dietary / Special Requirements:
(Any dietary requirements should be notified well in advance of the Conference for catering arrangements)




 If you are a ISSI member, please state your Membership Number

Payment must be made in advance in order to confirm your place at the event. We do not provide Purchase Orders and
are not able to issue invoices. A VAT receipt will be sent to the person paying, after payment has been cleared.




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                Registration Details
                (Please write down the fees of your selection to the right under selection column)

ISSI 2011 Registration fees                                                     Cost            Selection
Early Bird deadline: April 30                                        ZAR           ZAR          ZAR
Main Conference (July 5–7)                                       From May 1     Early Bird
Main conference ISSI Member                   July 5-7                 3300           2500      ZAR
Main conference ISSI Member – DC              July 5-7                 2200           1500
Main Conference Non ISSI Member               July 5-7                 3700           2900      ZAR
Main Conference Non ISSI Member – DC          July 5-7                 2450           1900      ZAR
Main Conference – Daily Participation         Full day                 1900           1200      ZAR
Main Conference Accompanying Person           July 5-7                 2300           1600      ZAR
One Half day Conference Tutorial              July 4                    800            550      ZAR
Full day Conference Workshop / Two half                                1300
day Tutorials
                                              July 8 / July 4                           900     ZAR
Conference Dinner(p/p)                        Evening                    900            700     ZAR
Doctoral Forum participant*                   Full day, July 4   YES
                                                                                       Total ZAR _____
Please tick:
Half-day Tutorial A:             Half-day Tutorial B:
Full day Workshop:

      Main Conference fee covers entrance to the conference, conference proceedings, receptions,
       lunches and coffee/tea breaks July 5-7.
      Full day workshop(s) (July 8) or both half-day tutorial(s) (July 4) registration fees cover
       workshop/tutorial materials, coffee/tea breaks and lunch. A single half-day tutorial fee covers
       workshop/tutorial materials and coffee breaks. Selection of two half-day tutorials counts as a
       full day event to the discounted fee (900 ZAR, Early Bird). Please tick your selected
       workshops/tutorials above and enter the fee amount in the corresponding box(es) on
       registration table above.
      The conference dinner fee is in addition to the conference fee.
      The Accompanying Person fee covers entrance to the conference, receptions, lunches and
       coffee/tea breaks July 5-7.
      Touring options will be provided at the registration desk on arrival at additional cost.

Notes:
DC: Developing Countries, as of the list of DC from the United Nations

* : Doctoral Forum participants selected by the Doctoral Forum Chairs must register and pay the
appropriate ISSI Main Conference registration fee prior to April 30, 2011 in order also to participate
in the Forum. Tick YES box if participating in the Doctoral Forum.

Helpful information on exchange values: 100 ZAR correspond approx. to 14.6 USD and 11 Euro as of
mid-January 2011. Since fluctuations frequently occur the registration fees should be paid in ZAR.

All attendees/participants are responsible for booking their own accommodation.




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Payment Options
Please repeat name of participant                                 Repeat name of accompanying person)


State total amount in ZAR:



1. Direct Deposit /payment:
First National Bank
Smith Street 8, Empangeni 3880
South Africa
Acc. Name: ISSI 2011
Bank code: 220130
Acc. No: 62293948249
Acc.Type: Business Cheque Account
Swift Code: FIRNZAJJXXX
Reference (please use your surname and initials):

          (Please tick if paying by direct deposit)

Please select the option that bank transaction fees are shared between depositor and recipient.


2. Personal / Company Cheque
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I enclose a bank guaranteed cheque for the full fee. Cheques should be made payable to “ISSI 2011 “ by 30 of April,
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2011, for Early Bird registration, and 30 of May, 2011, for later registrations.

          (Please tick this box if paying by cheque)


Additional Information

For overseas delegates who wish to attend the event please note that invitation letters will be issued on request.

Please contact the ISSI 2011 Local Organizers at: docholla@pan.uzulu.ac.za for a letter of support.

Cancellation Policy
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In the event of cancellation and provided written notice is received by the 30 of May 2011, a full refund will be made. In the event
of cancellation after this date, we regret that no refund can be given.

Name Substitutions
Name substitutions are accepted up to 24hrs prior to the event by fax or email.
Fax: +27 (0) 35 902 6635 or fax to email: Tel: +27(0) 86 604 5820
Email: dviljoen@pan.uzulu.ac.za




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