CaribbeanSmallIsland Developing States 2011

4th – 7th March 2011
University of Netherlands Antilles

Venue
University of the Netherlands Antilles
Jan Noorduynweg 111

Willemstad, Curacao
Contact SIDS Conference

Mail:

REGISTRATIONFORM FOR LOCAL PARTICPANTS

Email this form to

Section 1

REGISTRATION DETAILS

Name:…………………………………

Address:…………………………………
Country:…………………………………

Phone(conference):…………………………………
Email:…………………………………

Organization/Affiliation:…………………………………
Title of paper:…………………………………
Vegetarian :…………………………………
Special Dietary :…………………………………
Stay in Curacao (Hotel) :…………………………………

Section 2

I will attend:

Thursday 3 March 2011, 18.15-22.00: Opening, Registration & Reception.
Friday 4 March 2011, Main conference 9.30 – 17.00
Friday 4 March 2011, Teener Parade (carnaval) 19.00-21.00
Saturday 5 March 2011 main conference
Saturday 5 March 2011, Island Tour*14.30-22.00
Sunday 6 March 2011, Grande parade (carnaval) 10.00-16.00
Monday 7 March 2011, Main conference 10.00-13.00
Monday 7 March 2011, Closings reception: 13.00-15.00

*All things on this list are included except: the Island tour.
The Island tour will cost between: $ 50 - $ 60.

PAYMENT DETAILS

Section 3

Please tick one Type of Registration

Normal registration Naf. 150
Foreign student Naf. 50*
UNA Employee Naf. 50 (UNA will cover the fee)
UNAstudent Naf. 50*(UNA will cover the fee)

* To qualify for the discounted fee, students must provide an official certification issued by their university or institution verifying they are full-time students and a copy of their valid Student ID card.

METHOD OF PAYMENT
Bankdetails for payment bybank transfer, MCB & RBTT:
MCB Bank
Beneficiary Name: University of The Netherlands Antilles
Beneficiary Address:Jan Noorduynweg 111
Willemstad, Curacao
City, Island: Curacao

Country:Curacao

Beneficiary Account Number: 88134108
Beneficiary Bank Information: MCB
Plasa Jojo Correa 2-4,

Willemstad, Curaçao
Payment Information

Customer Number at Beneficiary:(Your full name)

Payment Amount: (As mentioned above)

Payment reference:SIDS conference March 2011
Debit Account Number:(Your account number)

Payment Frequency:(One Time payment)

Payment Date:(Current Date)

Final Payment Date: (No need to fill it in)

RBTT Bank

Beneficiary Name: University of The Netherlands Antilles
Beneficiary Address:Jan Noorduynweg 111
Willemstad, Curacao
City, Island: Curacao

Country:Curacao

of your bank)
Beneficiary Account Number: 1339826
Beneficiary Information:RBTT
Kaya Flamboyan 1,
Rooi Catootje, Curacao

Payment Information

Customer Number at Beneficiary:(Your full name)

Payment Amount: (As mentioned above)

Payment reference: SIDS conference March 2011
Debit Account Number:(Your account number)

Payment Frequency:(One Time payment)

Payment Date:(Current Date)

Final Payment Date: (No need to fill it in)

If there are any problems with payment, please do not hesitate to contact us.

We will contact you soon as possible if we receive your payment.

Thanks for registration and we are look forward to meet you at the conference!

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