IUTAM Symposium 994 by maclaren1

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									                                     NATO ARW Bianisotropics’2002
                                                                   May 8-11, 2002
                                            KENZI FARAH Hotel, Marrakech – Morocco


                                                REGISTRATION FORM
Name (Last, First): ............................................................................ Title: (Prof/Dr/Ms/Mr): .......................
Affiliation/Institution/Company .....................................................................................................................
Postal Address:...........................................................................................................................................
...................................................................................................................................................................
City, Post/Zip Code: ........................................... State/Province: ................................................................
Country: ............................................................. Email: ..............................................................................
Phone: ............................................................... Fax: .................................................................................
If you are accompanied, please fill in below,
Name:
Day/Time/Flight number of arrival:
Day/Time/Flight number of departure:

(i) REGISTRATION              FEES: While no registrations fees will be required due to the NATO ARW
support, there will be a charge for food, beverages and various expenses (lunches, refreshments and Gala
dinner).

                 Active Participant                                                       140 Euro

                 Gala dinner for accompanying person                                      35 Euro


(ii) ACCOMMODATION FEES
Room type desired:
           Kenzi Farah Hotel (5 stars) with half board
            Single: 101 Euro x                   (number of nights) =                     Euro
            Double: 72 Euro/person x                        (number of nights) x                   (number of persons) =                         Euro
           Tropicana Hotel (4 stars) with half board
            Single: 58.5 Euro x                   (number of nights) =                     Euro
            Double: 47.5 Euro/person x                         (number of nights) x                 (number of persons) =                         Euro
           Ibn Batouta Hotel (3 stars) with half board
            Single: 33.5 Euro x                   (number of nights) =                     Euro
            Double: 24.5 Euro/person x                         (number of nights) x                (number of persons) =                         Euro


 (iii) SOCIAL EVENTS: Excursion to Ouarzazate (lunch included) & half day historical visit
              Active Participant              64 Euro

              Accompanying                    64 Euro + 25 Euro ( Lunch in a Palace of the Old City) = 85 Euro
              Person
Total Fee: (i) + (ii) + (iii) =                                Euro

(iv) PROGRAMS FOR ACCOMPANYING PERSONS (please specify your needs):


(v) COMMENTS AND QUESTIONS:


Payments             (Please type or print in block letters)

[ ] By bank transfer (Swift transfer) to Jacaranda Voyage (S.A.R.L.)

        Sender's name:
        Bank References:
        Banque Populaire de Marrakech – Tensift Siege
        Account number: 21211 141 35020021
        SWIFT Code: BCPOMAMC
        Bank name: Banque Populaire de Marrakech – Tensift Siege
        Bank Address: Avenue Abdelkrim Khattabi, Marrakech – Morocco.
        Jacaranda Voyage address: 182 Bd Abdelkrim Khattabi, residence Zitouna, Appt. no 6, 40000
        Marrakech – Morocco.

[ ] I will pay cash upon arrival (only if you can’t make the swift transfer)

Please make sure to remit the amount with all banking charges on the account, attach the copy of
bank transfer evidence to this registration form and fax it to:
        Dr. Said Zouhdi
        Fax: +33 1 69 41 83 18
        Email: sz@ccr.jussieu.fr

GENERAL CONDITIONS OF SALE
Reservations received after April 10, 2002 will be accepted subject to availability

								
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