3rd
IIPT AFRICAN CONFERENCE
ON PEACE THROUGH TOURISM
Hotel InterContinental
Lusaka
Lusaka, Zambia
February 6-11, 2005
R
E G I S T R A T I O N F
O R M
Please
complete one form per registrant.
Please print this page and
fill in the form. Mail or fax to:
Mail:
IIPT African Conference 2005
Ministry of Tourism, Environment and Natural Resources
Box 30575 LUSAKA, ZAMBIA
Fax: +260 1 222189/ 223301
Dr./Prof./Mr./Ms./Miss
(Circle One)
Surname
_________________________________________
Given Name ______________________________________
Title
____________________________________________
Company _________________________________________
Address________________________________________________________________
Telephone
_____________________________________
Fax ___________________________________________
Email
_________________________________________________________________
¨ Please send me information
on sponsorship opportunities for social functions, coffee breaks, or other conference
activities.
Terms and Conditions: The Organizing Committee and the Conference
Host Committee, their representatives and their agents shall not be liable for
any loss, injury or damage of any kind whatsoever suffered directly or indirectly
or in connection with the 3rd IIPT African Conference. The Organizing Committee and the Conference
Host Committee, their representatives and their agents reserve the right to cancel
or amend any or all of the programmed or related activities when deemed necessary
due to circumstances beyond their control. All fees should be paid with this Registration
Form. All incidental expenditures incurred
must be settled directly with provider.
¨ I have read, understood and agree to the Terms
and Conditions relating to the 3rd IIPT African Conference.
Signature ________________________________________
Date ____________________________________________
Registration
Fees
Registration
fee includes admission to Conference sessions, workshops and sponsored social
functions, February 6-11, 2005. Accommodation and travel costs are not included.
Please check one:
¨ Standard Registration
US$ 150*/ $190
¨ ATA Members Only Registration
US$ 125*/ $160
¨ Student/Youth Registration US$ 10*/ $15
*Early Bird Registration fees are available until
October 30.
All media are invited to cover the 3rd IIPT African
Conference on Peace through Tourism. To
register with press credentials, contact Karen Hoffman, The
Bradford Group, Tel.: 1.212.443-2027, Fax: 1.212.725.8253, E-mail: iipt@bradfordmarketing.org.
“3rd IIPT African Conference, Ministry
of Tourism, Environment & Natural Resources”
Mail with registration form to above address.
¨ Electronic Funds Transfer to:
Zambia
National Commercial Bank, Lusaka Business Center, World Tourism Organisation Account No. 003022000002187
We
regret that payment by Credit Card is currently
not available.
Refunds and
Cancellations
Up to and including:
October 30, 2004 Full refund less $30 per person administration
fee
November 30, 2004 50% refund
After Nov. 30, 2004 No refund
