Você está na página 1de 3

CONFERENCE REGISTRATION FORM

World Conference on Drowning Prevention 2015


Please complete and return by e-mail to secretariat@wcdp2015.org with bank transfer receipt.
(The last name and title given here will be printed on your badge)

Participants Information
First Name:
Title:

Last Name:

Prof.
Mrs.

Dr.
Mr.
Other, please specify:

Ms.

Nationality:
Organisation:
Position:

Yes

ILS Member:

No

Address:
City:

Postcode:

Telephone: (M)

Country:
E-mail:

Conference Fee:
REGISTRATION FEE

EARLY BIRD
(Until 31 July 2015)

STANDARD
(From 1 August 2015
onwards)

Amount

Three Days Registration


Full

USD 300

Speakers

USD 210

Student

USD 220

Malaysian

MYR 800

USD 170 - 4 Nov

One Day Registration

USD 170 - 5 Nov


USD 170 - 6 Nov

ILS Conference Dinner

USD 50

USD 370
USD 300
USD 340
MYR 1000

Grand Total:
Please review your registration details above and ensure the total for your registration fee is correct. If
any details are incorrect please edit accordingly.
Please review the Conference Registrations Cancellation and Refund Policy and acknowledge these
conditions prior to your submission. Upon receipt the complete registration form, an invoice will be
issued for your payment purpose.
By sending in this registration form, I acknowledge that I commit myself to the immediate payment of the
full conference fee. I have taken notice of the cancellation terms on this form.

Date:

Signature:

Conference Registration - Cancellation and Refund Policy


Cancellations must be received in writing - mail, email or fax - to Conference Secretariat,
World Conference on Drowning Prevention 2015. Cancellations will not be deemed to be
received until you have written confirmation from the Conference Secretariat. If you have not
received acknowledgement within three business days, please contact the Conference
Secretariat.
There will be no penalty for cancellations received on or before 6 August 2015 (90 days prior
to the conference). The full registration fee paid minus a USD $25 processing fee will be
refunded.
A cancellation fee of 50% of registration fees plus a USD $25 processing fee will be applied
for cancellations received between 5 August 2015 and 16 September 2015 (89 and 45 days
prior to the conference).
No refund will be issued for cancellations received from 17 September 2015 (less than 44
days before the Conference).
If a delegate fails to attend (Non-attendance), registration fees will not be refunded.
Substitutions may be accepted however need to be advised in writing - mail, email or fax - to
Conference Secretariat, World Conference on Drowning Prevention 2015.
Insurance
It is strongly recommended that participants take out their own general travel insurance. It is
suggested that the insurance policy should also cover loss of fees/deposit, airfares,
accommodation charges, medical expenses, loss or damage to personal property and
repatriation expenses.
The Insurance should cover loss arising from the cancellation of the conference by the
organisers or a persons inability to attend due to any reason whatsoever. No responsibility is
taken by the conference secretariat for any person not holding insurance.

Você também pode gostar