REGISTRATION FORM FOR GENERAL PARTICIPANTS
Mr. Ms. Mrs. Dr.
Family name
First name
Middle name
SexMale Female
Organization
Job Title, Dept.
Address/ P.O. Box
ZIP Code, City, Country
Tel:
Fax:
E-mail:
URL:
Accompanying persons
1. Family name
First name
Middle name
SexMale Female
Organization
Job Title, Dept.
Address/ P.O. Box
ZIP Code, City, Country
Tel:
Fax:
2. Family name
First name
Middle name
SexMale Female
Organization
Job Title, Dept.
Address/ P.O. Box
ZIP Code, City, Country
Tel:
Fax:
I will need a formal invitation to obtain visa to enter Germany:
  • Participant
    • passport #
    expiration date
    citizenship
    date of birth
    home address
  • Accompanying persons (for each person)
    • 1. passport #
    expiration date
    citizenship
    date of birth
    home address
    2. passport #
    expiration date
    citizenship
    date of birth
    home address




    Accommodation (Booking upon request; prices will be given by our partner hotels):
    one-room apartmenttwo-room apartmentTwo-room apartment (Downtown view)SuiteLuxury Suite
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    Cultural events:
    Events covered by the registration fee
    * A tour to the picturesque sights of Marburg City
    * A cultural performance
    * Banquet to mark the Conference Opening
    * Banquet to mark the Conference Closing

    The list of additionally charged social events will be available later. Please tick if you are interested. Preliminary cost of each event is 15-20 USD.

  • Payment Options
    We do not accept credit cards. You may pay your conference fees either by bank transfer or cash on arrival.
    • Bank transfer (see a separate sheet)
    PLEASE NOTE: Bank transfer charges to your account

    In cash on arrival (USD/EURO)

    I wish to present a paper
    (title)


    I wish to rent a stand (please attach products description)
    (2 m x 2 m) stand (4m x 2m) stand
    I will need a computer and/or other equipment and services
    (please indicate the parameters)


    Special offer only for Conference participants
    You can order information products at a 20% discount:
    Special editions:
  • Aceh Week 2006 Conference Materials containing business links, full-text papers, programs, lists of participants and additional information. Cost: $15. Copies
  • Encyclopedia Achinica (One compact volume edited by M. Maidar, et al). Cost: $50. Copies

  • Achinese-German Dictionary (By M. Maidar). Cost: $25. Copies

  • Achinese Chronicles (By M. Maidar). Cost: $25. Copies

    Additional information
    		•