Registration Form

Registration Form

REGISTRATION FORM DELEGATE Family name First name Institute/Organization Street address/P.O. Box Postal code City Country Tel. (country code) (area code) (number) E-mail Fax (country code) (area code) (number) Special requirements (diet, disabilities etc.) ACCOMPANYING GUEST(S) Family name First name Age Family name First name Age Special requirements (diet, disabilities etc.) REGISTRATION FEES (in Euros) Early Bird Rate Normal Rate Late and On-site Rate if paid by 15 March if paid by 15 May if paid on 16 May or after Delegates......................... 260 320 350 Membership fee Students+delegates from for the founding members developing countries........... 190 250 270 of the Association for Cultural Studies Accompanying guests and 50 children over 4 years....... 60 85 90 SOCIAL PROGRAM PRIOR REGISTRATION IS NEEDED! 29 June City Reception & Get-Together (included in the reg.fee) yes no 30 June Tampere Sightseeing Tour 19.00-21.00 _____ person(s) x 20 = ______ Note! Various activity programs will be planned for the early evening (19.00-21.00). Please check the web-site for details. Registration can be done on-site. All programs end at Restaurant Plevna for dinner. Dinner at Restaurant Plevna at 21.00- _____ person(s) x 20 = ______ 1 July Dinner & Finnish Evening at Kisaranta open-air dance floor _____ person(s) x 40 = ______ TOUR PROGRAM Children 4-12 years -50% PRIOR REGISTRATION IS NEEDED! 29 June Tampere Sightseeing Tour _____ person(s) x 20 = ______ included in the accompanying person’s and children’s fee _____ person(s) free Lunch Cruise on Lake Pyhäjärvi _____ person(s) x 45 = ______ 30 June Countryside and Art Tour _____ person(s) x 75 = ______ 1 July Full Day Tour to Rauma _____ person(s) x 75 = ______ PRE- AND POST-CONFERENCE TOURS BOOKING AND PAYMENT BY 26 APRIL! 25-29 June Pre-Conference Tour to Lapland _____ person(s) / double room x 530 = ______ _____ person / single room x 580 = ______ 2-6 July Post-Conference Tour to St. Petersburg _____ person(s) / double room x 640 = ______ _____ person / single room x 825 = ______ Ballet in St. Petersburg _____ person(s) x 70, Folklore Show_____ person(s) x 75 total = ______ ACCOMMODATION Participant’s name _____________________________________ See the list of hotels in the www.crossroads2002.com and name your first, second and third choice. If no rooms are available in the hotel of your preference, we will book you to the best possible alternative available. 1st choice _________________________________________________________ 2nd choice _________________________________________________________ 3rd choice _________________________________________________________ Room Type: Single room (1 person, 1 bed) Twin room (2 persons, 2 beds) Extra bed for a child Date of Arrival ________________ Date of Departure _______________ Time of arrival in Tampere _______________________________________________ Room mate ____________________________________________________________________________________ Special request for accommodation ______________________________________________________________________ Accommodation costs will be paid at check-out directly to the hotel. All hotels demand that you give a credit card number when making the hotel reservation. They will debit one night’s accommodation from you if you have not cancelled your reservation in advance. All Sokos Hotels will charge the first night’s accommodation from your credit card about two weeks before arrival. It is non-refundable in case of a cancellation. Please, make sure you inform your time of arrival on your registration form. If your arrival is later than at 6 pm and you have not informed Tampere Conference Service or the hotel about late arrival, your booking cannot be guaranteed and the cancellation fee (one night) will be charged. Credit card number: __________________________________________________ Expiry date (mmyy): __________________________________________________ A letter of confirmation will be sent to you after we have received your Card’s verification value on signature panel (3 last digits) _________________________ registration fee. Hotel address/ phone number will be given in this Cardholder’s name __________________________________________________ letter. Cardholder’s signature __________________________________________________ ACCOMMODATION IN HELSINKI Room Type: Single room (1 person, 1 bed) Twin room (2 persons, 2 beds) Extra bed for a child Price Category: 1st class tourist budget Room reservation fee Date of Arrival ________________ Date of Departure __________________ EUR 12 per room (non-refundable) Time of arrival in Helsinki ________________________________________________ Room mate ________________________________________________________ _____________________ PAYMENT Your booking is valid when we have received your payment in full. All payments should be made in EUROS. Cheques are NOT accepted. Please write your NAME on all your money transfers. A receipt and confirmation will be sent by post after the payment has been processed. Account holder: Crossroads 2002 Bank: Nordea Bank PLC, Tampere, Finland Account number: 114635-344897 Swift address: MRITFIHH Method of payment: Bank transfer VISA Eurocard Master Card Credit card number: Expiry date (mmyy): Card’s verification value (3 last digits on signature panel) I hereby authorize Tampere Conference Service Ltd. to charge the Crossroass in Cultural Studies conference fee and TOTAL EUR related costs from my credit card. Cardholder’s name _______________________________________________________ Cardholder’s signature _______________________________________________________ PLEASE FAX OR MAIL THIS REGISTRATION FORM TO: TAMPERE CONFERENCE SERVICE LTD. Fax: +358-3-222 6440 BOX 630 Tel: +358-3-366 4400 FIN-33101 TAMPERE e-mail: [email protected] FINLAND Web-site: www.crossroads2002.com .

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