REGISTRATION FORM

32nd SOUTH EAST ASIA NET CONVENTION (SEANET2004)

1. Full Name and Particular

Title (Mr, Mrs, Ms etc.): / Mr.Mrs.Ms.SirCapt.Tuan
Full Name:
Call Sign:
Preferred Badge Name:

2. Mailing Address

Address line1:
Address line2:
Country:
Post Code:

3. Telephone

House:
Office:
Mobile:
Fax:
E-Mail:

4. Accompanying Persons

Name: / Call Sign: / Badge Name:
Name: / Call Sign: / Badge Name:
Name: / Call Sign: / Badge Name:
Name: / Call Sign: / Badge Name:
No.Pax / Package Cost / Total cost
5. Package A / Full Registration for adult 21 years or over / x Baht 3700 =
6. Package B / Full Registration for youth under 21 years / x Baht 2450 =
6.1 Package C / Welcome Dinner (Friday) only / x 800 Baht =
6.2 Package D / Gala Dinner (Saturday) only / x 800 Baht =
6.3 Package E / Saturday sight-seeing Tour/s inc. lunch / x 1500 Baht =
6.4 Package F / Sunday Plenary presentations, coffee, lunch / x 600 Baht =
7. Would you like Hotel Limousine transportation to be arranged between DonMuangAirport and Arnoma Hotel? / NoYes
If yes; please complete line 8.
8. Arrival Flight Number: [if available]
Date of arrival: / mm/dd/yy / Time of arrival:
9. Would you like us to reserve accommodation at Arnoma Hotel? / YesNo
If yes; please complete line 10
10. Accommodation
10.1 Number of single/double room (Baht 2400 per room nett) / No. of nights
10.2Number of extra bed, (one per room @ Baht 1100 nett):
10.3 Check in date: / mm/dd/yy / Check out date: / mm/dd/yy
11. Do you need help in locating alternative accommodation? / NoYes
12. Please indicate any special requirement: [Food, Medication, etc.]

Please send your completed registration form by 5th November 2004, as follows:

By post to: SEANET 2004, PO Box 69, Bangkok Airport Post Office, Bangkok10212, Thailand

By Email to:

By fax to: + 66 37 328 042

HELP NOTES FOR COMPLETION OF REGISTRATION FORM - issued 9th June 2004

The following numbered notes correspond with those on the Registration Form.

1. The leading attendee should complete this section, i.e. Group leader, or leading partner in the case of a couple. The badge name is the name or call-sign you wish to be put on your I.D. Badge.

2. Please complete the postal address of the Leader.

3. Please give the contact details of the Leader.

4. Please give the names and badge names of all accompanying persons.

5. Please fill in the total number of persons in your party aged over 21 years of age. The Convention Registration Fee is 3700 Baht per person. This covers lunches, convention dinners, entertainment, convention activities, sightseeing, prizes etc. The total registration fee for such persons can be calculated by multiplying the number of persons by 3700 Baht.

6. Please fill in the total number of persons in your party aged below 21 years. The total registration fee can be calculated by multiplying the number of such persons by 2450 Baht.

6.1 to 6.4. The full registration fee includes the cost of convention meals, welcome gift pack, raffle tickets, convention activities, sight-seeing tours and entertainment. You can book for individual packages (C-F) but they do not include the Welcome gift pack.

7. The Arnoma hotel operates an airport pick-up limousine service at 800 Baht nett per car per way. The normal operation times are 06:00 to 24:00 Hours, during 00:00 to 06:00 there is a 400 Baht surcharge. We will make a reservation for you if you wish to use the hotel limousine service. Please note that there are other transport services available from the airport, such as airport buses, public meter taxis, and airport limousines.

8. Please give details of your flight number, arrival and departure date. If not available yet, please mark "will forward later",

9. Accommodation can be arranged and reserved directly with Arnoma Hotel as follows:

By Email to: < > (reservations and general enquiries for SEANET bookings)

Or by post: Arnoma Hotel, 99 Rajdamri Road, Pathumwan, Bangkok10330, Thailand.

By fax: +66 2 655 7921

By telephone +66 2 255 3410

Please mention the SEANET Convention and the special convention room rates: Twin Bedded Room for one or two persons including Buffet Breakfast – 2400 Baht nett. One extra bed per room can be arranged at 1100 Baht nett including one more breakfast. For more persons two rooms can be booked with adjoining doors.

It should be mentioned that the Arnoma Hotel is normally fully booked during November (High Season), but is reserving a large number of rooms for the convention. Once the rooms are booked, an alternative hotel may have to be used. To guarantee your room booking in the convention hotel it is preferable to book as soon as possible, before 19th September 2004. Bookings received after 19th September 2004is subject to room availability. If you would like the Organising Committee to handle your reservation please indicate and complete Section 10.

10. Please indicate your accommodation requirements. Note that the prices are nett, and are specially discounted for the convention.

11. The Arnoma Hotel is offering a very good value package, and it is obviously more convenient to be located in the Convention Hotel, but if anyone would like help in locating alternative accommodation in Bangkok, the Organisers will be pleased to do so. Please indicate if help is required, so also your budget per night.

12. Please write your special requirements.

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Please send your completed registration form by 5th November 2004, as follows:

By post, to SEANET 2004, PO Box 69, Bangkok Airport Post Office, Bangkok10212, Thailand

By Email to <

Via the web-site <

By fax to (+ 66 37 328 042)

Please forward your Registration fee by bank transfer to

Siam City Bank

Ratchawat Branch No 111, Bangkok

Account Type: Saving

Account Number: 111-2-22688-4

Account Name: RAST

Updated to:-

Bank name: Krung Thai Bank Plc.

Branch name :Pradipat Branch

Account Type: Saving

Account Number: 034-1-86101-4

Account Name: Radio Amateur Society of Thailand

RAST has addedcredit cardpayment facility. Please see below.

To pay for your SEANET Registration fee by Credit Card please supply the following information securely:
Your Name:
If Possible your SEANET Booking Reference Number:
The amount in Thai Baht:
Card Type:
Card Number:
Card Name:
Valid until: Month/Year
Visa and Mastercard credit cards are acceptable:
Please take care with your card information and send by the following means:
1. By fax to Mr Ray Gerrard, SEANET Organiser, +66 (0)37 328 042. This is a secure fax in a private room in a private house, with no public access. Please bear in mind the fax machine may have to be taken off-line during thunderstorms.
2. By Email to raynom(at)loxinfo.co.th, but do not include all the information in one message. Spread the details over two or three messages, or send one part by Email and the other by fax.
3. Send by mail (preferably registered) to Ray Gerrard, PO Box 69, Bangkok Airport PO. Bangkok, 10212, Thailand.
4. Telephone your information to Ray Gerrard HS0ZDZ between 0100 to 1400 GMT (daytime in Thailand)
+ 66 37 328 041

Please include a note stating the purpose of the payment and if possible please include your payment statement with your registration form.

Please check the web-site for updates and changes.