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AFSTA CONGRESS Uganda 2006 REGISTRATION FORM

 

DELEGATE
Title
Surname :
First Name 
Nationality
Position
Employer
City
Country
Tel 
Fax
E-mail 
Preferred name on ID badge
ACCOMPANYING PERSON
Title
Surname :
First Name 
Nationality
Position
Employer
City
Country
Tel 
Fax
E-mail 
Preferred name on ID badge
FLIGHT ARRIVAL/ DEPARTURE DETAILS
Date of arrival Flight No  Time
Date of departure Flight No Time
A non-refundable deposit of a one night's accommodation is required for hotel reservation
ACCOMMODATION (tick the hotel of your choice)
Imperial Resort Beach Hotel (Congress Hotel) :

Imperial Botanical Beach Hotel

Sophie’s Motel

Golf View Inn

Entebbe Flight Motel

Date of arrival Date of departure  Number of nights

REGISTRATION FEE 

FOR AFSTA MEMBERS:

  Delegate:  

  • Before 31 st January 2006 US$ 390
  • After 31st January 2006 US$ 440

Accompanying person:  

  • Before 31 st January 2006 US$ 100
  • After 31st January 2006 US$ 150

  FOR NON-AFSTA MEMBERS:

  Delegate:  

  • Before 31 st January 2006 US$ 590
  • After 31st January 2006 US$ 650

Accompanying person:  

  • Before 31 st January 2006 US$ 300
  • After 31st January 2006 US$ 350

EXHIBITION SPACE

Minimum unit of 0.8m x 2m = 1.6 m² at the cost of US$ 200

Cick here to view the map
No of units preferred
MEALS
LUNCHES (Optional) Please tick the days you wish to have lunch (US$ 11 per meal)

29 March

30 March 31 March    

TOURS (tick the tour of your choice - details on www.afsta.org )

3 DAY 2 NIGHT SAFARIS
Kibale Forest National Park
Queen Elizabeth Park

Visit to the Gorillas (Bwindi Impenetrable National Park)

Sesse Islands via Masaka

Semiliki Game Reserve

DAILY TOURS
Mighty Source of the Nile
Kampala City Tour

White Water Rafting on the Mighty Nile

The Zebra Stripes

Total Due

Congress registration fees
US$ 
Accommodation (deposit )                               
US$ 
Exhibition space           
US$ 
Lunch      
US$ 
Tours
US$ 
TOTAL       
US$ 

              

 

Instruction for payment

The registration fees, accommodation deposit, any exhibition space fees and any of the tours fees are payable by bank transfer, banker’s cheque (Personal Cheques are not accepted) or by credit cards in US$ Currency only. Please note that you are required to pay all the bank charges while transferring the money to AFSTA Secretariat. Any bank charges taken by the bank will be payable to AFSTA Secretariat upon registration at the venue.

Payment can be made by bank transfer to the following bank: 

•  Bank: Barclays Bank of Kenya, Moi Avenue Branch, Nairobi, Kenya

•  Account Name : AFSTA Events

•  Account number: 7055480

•  Swift code: BARCKENX

By credit cards

The following credit cards are accepted: VISA, AMERICAN EXPRESS AND MASTERCARD

Amount to be charged on your credit card in US$: ………………………………………………

Credit Card Number: _ _ _ _ / _ _ _ _ / _ _ _ _ /_ _ _ _

Expiry Date: _ _ / _ _ _ _

Credit Card Holder’s:

Name: ………………………………………………

Signature for authorization: ……………………………………..

PLEASE ALSO SEND A COPY OF BOTH SIDES OF CREDIT CARD

AND A COPY OF YOUR PASSPORT WITH THIS SIGNED FORM

(By Fax: +254 20 2727861 or by E-mail in electronic version: afsta@afsta.org )

  • By Banker’s cheque
  • To be sent by registered mail to AFSTA Secretariat at the following address:

Ms Susan Miyengi, AFSTA Secretariat, P.O. Box 2428 – KNH, Nairobi, Kenya

•  Contact person: Ms. Josephine Okot

•  Adress : P.O. Box 7065 , Kampala, Uganda

•  E-mail: jo-seeds@infocom.co.ug

•  Telephone : +254 71467365

•  Fax: +254 41230364

Website: www.afsta.org

 
 
 
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