Abstract Submission Deadline Extended to 31 August 2010
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Contact Us
 
REGISTRATION FORM
 


Congress participant's Registration

Please complete the following form using capital letters:

Name
:
*
Company Name
:
*
Position
:
*
Address
:
Country
:
Phone
:
Fax
:
E-mail
:
*

Registration Fee
Congress Fee
Before 10 May
Before 10 August
On Site
Remarks
Pre Congress Workshop
USD 150.00
USD 150.00
USD 150.00
General Assembly
USD 50.00
USD 50.00
USD 50.00
spaceACPT CONGRESS
space Full ACPT Congress
space Before Congress
USD 350.00
USD 350.00
USD 350.00
space On Site
USD 400.00
USD 400.00
USD 400.00
2 Day Scientific Session (October 11 & 12)
USD 250.00
USD 250.00
USD 250.00
1 Day Scientific Session (October 11)
USD 125.00
USD 125.00
USD 125.00
1 Day Scientific Session (October 12)
USD 125.00
USD 125.00
USD 125.00
Student
USD 150.00
USD 150.00
USD 150.00

Hotel Options
PLEASE CHOOSE YOUR HOTEL, ROOM TYPE, TOTAL ROOM AND CHECK IN - CHECK OUT
Hotel Room Rates Total Room Date
Single Double Check In Check Out
Sanur Paradise Plaza Hotel
spaceicon Run Of House
USD 80.00 USD 80.00 Rm
spaceicon Club Room
USD 105.00 USD 105.00 Rm
Diwangkara Holiday Villa
spaceicon Run Of House USD 54.00 USD 54.00 Rm
Mentari Sanur Hotel
spaceicon Garden View USD 56.00 USD 56.00 Rm
spaceicon Pool View USD 62.00 USD 62.00 Rm
Sri Phala Resort & Spa
spaceicon Superior USD 54.00 USD 54.00 Rm
spaceicon Deluxe Bungalow USD 62.00 USD 62.00 Rm
Puri Dalem Hotel
spaceicon Standard USD 42.00 USD 42.00 Rm
spaceicon Superior USD 54.00 USD 54.00 Rm
Sanur Agung Hotel
spaceicon Standard USD 45.00 USD 45.00 Rm
spaceicon Superior USD 50.00 USD 50.00 Rm

Note:
Airport transfer to/from official hotel only
Hotel rates are net, per-room, per-night including tax, service & breakfast for maximum 2 persons.




Term & Conditions

Payment

acpt bali
Booking will be confirmed upon receiving the full payment.
acpt bali
Payment may be made by:
   
  1. Bank Transfer to :
    BANK BNI
    Jl. Imam Bonjol No. 466 B, Denpasar, Bali, Indonesia
    Account Name : Moudi Selvana Kumolontang
    Account No. : 0188503420 (US$)
    Swift Code : BNINIDJARNN
       
    Note:  All bank administration fee should be borne by the sender. Kindly request for  a FULL AMOUNT
      when transferring the money to the below account. A lack of the amount, if any, will be charged on site.
   
  2. Credit Card
   
Please fill in this form for payment by credit card and there will be 3% bank administration fee.
   
Cancellation
Should a cancellation occured prior to the event, the following penalty will be applied:
acpt bali
Between 90-61 days: 10%  of the total invoice
acpt bali
Between 60-31 days:   25%  of the total invoice
acpt bali
Between 30-08 days:   50%  of the total invoice
acpt bali
Between 07 days - the day of event  100% of the total invoice  

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