registration form - Eur

advertisement
Literacy Learning- its place in Europe
The issues and concerns of learners and tutors
4th September 2012
Bonn, Germany
Registration before 1st August 2012 at coordination@eur-alpha.eu
REGISTRATION and ROOM BOOKING FORM
ONE form per person
SURNAME
FIRST NAME
ORGANIZATION/INSTITUTION
MOBILE PHONE NUMBER
E-MAIL
REGISTRATION FEES
Tick the appropriate box(es)
30 € WELCOME NIGHT (September 3rd)
30€ CONFERENCE
(September 4th)
35€ GALA DINNER (September 4th)
TOTAL: ___________
To be paid to
Lire et Ecrire Communauté française bank account :
IBAN : BE59001162664026
BIC: GEBABEBB
Before 1st August 2012
HOTEL ACCOMMODATION1
(at GSI Conference Centre)
1
Yes, I book a room
 Night 2 Sept. 68€ single 112€ double
 Night 3 Sept. 68€ single 112€ double
 Night 4 Sept. 68€ single 112€ double
 Night 5 Sept. 68€ single 112€ double
To be paid when checking out
Booking by means of this form only. Payment at the hotel when checking out.
Download