Marine Science Station Aqaba
Establishment of a Middle Eastern Biodiversity Research, Training and Conservation Network
REGISTRATION FORM
International Congress
Documenting, Analysing and Managing Biodiversity in the Middle East
20-23 October 2008 Amman, Jordan
Please complete this form and return it by e-mail or fax no later than 5 September 2008
to the Congress Secretariat:
Ms. Nadia Manasfi or Dr. Ilka Weidig
E-mail: nmanasfi@senckenberg.de, ilka.weidig@senckenberg.de
Fax: +49-69-7542.1253 or +49-69-746238
Family name:
Given name:
Affiliation:
Address:
Phone:
Fax:
E-mail:
Name of Accompanying Person 1:
Name of Accompanying Person 2:
Registration fees: I have paid the amount of
to
(Please send a scan/copy of the deposit slip or the filled authorisation letter for credit card
payment. Students must send a valid student ID to be granted reduced student registration
fees.)
I wish to order the following items:
Congress T-shirt: Unit price JD 5, Quantity:
Size(s):
Congress USB- stick, 1 GB: Unit Price JD 6, quantity:
Date:
Total price: JD
total price: JD
Signature (please type your name):
Submission deadline for early registration fees: 5 September 2008.