CONFERENCE PARTICIPATION REGISTRATION FORM

Communicating Science and Technology 2006

Please fill in the registration form if you would like to participate at CST 060606

1.Delegate

Guest name:

................................................................................................

There is no registration fee for accompanying guests not attending the conference. We assume that the accompanying guest is taking part in the same social events as the participant, if not, please, send a separate mail to Torill Berg [torill@tromsoeventservice.no].

Title/Profession (in English, please):

................................................................................................

First name:

................................................................................................

Family name:

................................................................................................

Organisation:

................................................................................................

2.Contact details

Street ot P.O. Box:

................................................................................................

Postcode:

................................................................................................

City:

................................................................................................

Country:

................................................................................................

Phone:

................................................................................................

Fax:

................................................................................................

* E-mail address:

................................................................................................

3.Invoice address

Postcode:

................................................................................................

City:

................................................................................................

Country:

................................................................................................

4.Registration

All prices in Euro. Remember to calculate the cost if you pay by credit card form.

If you want to partipate at the Coastal Steamer, please provide the birthdates of the participants:

................................................................................................

HOTEL RESERVATION

Please note: Bills must be settled with the hotel directly.

Date of arrival:

.........................

Date of departure:

.........................

Room reservation (mark the correct cell)

Please indicate any special needs you may require (i.e. vegetarian).

................................................................................................

5.TERMS OF PAYMENT:

Deadline for registration and payment is 20 May 2006.

No refund for cancellations after this date. Cancellation fee before this date is 60 Euro.

Registration fee and any social events are payed directly to the organizers. All other bills must be settled with the hotel directly.

You can pay by invoice or by credit card. (An invoice administration fee of NOK 35,- will be submitted).

Date/ Signature

................................................................................................