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Registration Form
XIX Annual Conference of Regional Central Bank's
Information Systems Specialists

Registration Deadline 7 April 2008

ECCB Headquarters, St Kitts
June 2-6 2008


Coordinator: • Mr Humphrey Magloire, Deputy
  Director MIS Department

Telephone No:

Facsimile No:
E-mail:

1-869-465-2537 (Extension 146)

1-869-465-5615
RCBISS@eccb-centralbank.org


PLEASE PROVIDE THE FOLLOWING INFORMATION
:

SALUTATION:
NAME OF PARTICIPANT: First Last
DESIGNATION:
DEPARTMENT:
INSTITUTION:
ADDRESS
COUNTRY
TELEPHONE NO:
EXT:
FAX NO:
EMAIL:

EMERGENCY INFORMATION
In case of emergency, please specify who in your country should be notified:
NAME:   RELATIONSHIP:
TELEPHONE:     FAX: EMAIL:
 

SPECIAL FOOD CONSIDERATIONS
Specify  
 

PRESENTATION INFORMATION
Presenting a paper Title
Special considerations
Equipment
Computer Flipchart Data projector
Overhead projector Internet access Other
       

TRANSPORTATION: This will be provided upon arrival and departure.

FLIGHT INFORMATION

ARRIVAL

date:

MM

DD YYYY

 

Time: 0 0 :
:
0 0 Flight No:
           

DEPARTURE

date:

MM

DD YYYY

 

Time:

0 0 :
:
0 0 PM

Flight No:

Accompanied by family members:
Name:    Relationship:
Name:    Relationship:
Name:    Relationship:



ACCOMMODATION
Please note that this information is for our records only as participants are responsible for making their own hotel arrangements.

When calling the hotel to make arrangements, please make reference to the conference and request the ECCB rate (as listed below). Reservations are on a first come, first serve basis, as there are no rooms blocked at this hotel.

Royal St. Kitts Hotel & Casino
website
Tel:1-869-465-8651

US$118.00 + 19% Tax


*Room rate includes meals and beverages (alcohol included). Entertainment will be provided

    


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