REGISTRATION FORM
10 - 13 September 2006, The Marmara Antalya Hotel - ANTALYA / TURKEY

(Please return this form fully completed along with your payment to KUBABA TOURISM via fax or e-mail)

PERSONAL DETAILS Mr. Mrs. Ms. Dr. Prof.
Name-Surname:
Phone:
Fax:
Address:
E-mail:
Billing Address:
 
REGISTRATION FEE (Please tick the appropriate box)

 

Before July 31, 2006

After July 31, 2006

Full Rate

450 €

500 €

Author

300 €

350 €

Student (with photocopy of student ID card)

150 €

200 €

Accompanying Person

150 €

200 €

Daily Registration

300 €

350 €

* Accompanying Person(s) not entitled to attend the Scientific Programme
Total:
ACCOMPANYING PERSONS
Name-Surname:
Name-Surname:
PAYMENT
(Please tick the appropriate box):

Bank Transfer Credit Card *

BANK : GARANTI BANKASI
BRANCH : TUNALI HILMI
ACCOUNT NAME : KUBABA/BM TURÝZM LTD
ACCOUNT NUMBER : 107 629 8876 (YTL)
ACCOUNT NUMBER : 107 909 5531 (USD)
ACCOUNT NUMBER : 107 909 5530 (EURO)
SWIFT CODE : TGBATRISXXX

Visa Master TOTAL:
Card Number:
Card Holder's Name:
Exp. Date:
Date:

I hereby authorise KUBABA TOURISM to debit the total amount of the services booked by me on this form from my credit card given the details above.

  • Symposium Registration Fee includes; attendance to the scientific programme, proceedings book, coffee breaks, lunches, opening ceremony, gala dinner and half day tour on September 12, 2006.
  • For cancellations done before 31 July 2006, % 50 of registration fee is charged. After that date cancellations can not be accepted.
  • All returns will be done after the symposium.

For Registration Form in word format

KUBABA TURÝZM - GUNIZ SK. NO: 44 / 1, 06700 KAVAKLIDERE-ANKARA / TURKEY Tel: +90.312.428 04 00 Fax: +90.312.428 03 05
e-mail: nermine@kubaba.net