IFKF CONFERENCE REGISTRATION FORM

Full Name:	(*)	(last, first, middle initial)
Degrees / Titles:	(*)
Role / Position:
Address:
City:
State:		(State / Region / Province)
ZIP / Postcode:
Country:	Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Myanmar Burundi Cambodia Cameroon Canada Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France Gabon Gambia, The Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russian Federation Rwanda Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Yemen Zambia Zimbabwe
Phone:	(*)	(including country code)
Fax:		(including country code)
E-mail:	(*)
Website:
Room Type*:	Single Room €60 Double Room €70
Rates per night are inclusive of a breakfast buffet. Please select your choise of room rate.
Room occupancy:
Arrival Date:	May, 10th May, 11th May, 12th May, 13th May, 14th May, 15th May, 16th May, 17th May, 18th May, 19th May, 20th May, 21th May, 22th May, 23th May, 24th May, 25th May, 26th May, 27th May, 28th May, 29th May, 30th Flight No:
Departure Date:	May, 10th May, 11th May, 12th May, 13th May, 14th May, 15th May, 16th May, 17th May, 18th May, 19th May, 20th May, 21th May, 22th May, 23th May, 24th May, 25th May, 26th May, 27th May, 28th May, 29th May, 30th Flight No:
When your travel arrangements have been finalized, you will be asked to confirm the dates above and provide an estimate time of arrival and flight number. Airport transfer detailes will be sent to you.
Registration Fee:	€
Hotel Payment:	€
Accompanying Person(s)	€ None 1 2 3 4 5 6 7 8 9 (€100/person)
Extra Single Room(s)	€ None 1 2 3 4 5 6 7 8 9 (€60/room)
Extra Double Room(s)	€ None 1 2 3 4 5 6 7 8 9 (€70/room)
Total:	€
Payment Method:	Credit Card Cash on Arrival (*)

For the payment of my order please charge my credit card account given below € Credit card charges will be made in Turkish Lira at current exchange rates.
Card Number:
Expiration Date:	/ (Month / Year like 04/11)
CVC No:	(CVC is located on the back of credit card and is typically a separate group of 3 digits to the right of the signature strip.)
Card Type:	Visa MasterCard
I agree the above mentioned amount to be charged to my VISA/MASTERCARD credit card account and credited to your account.(*)