Conference Registration Form for Delegates and Companions DELEGATE INFORMATION Name (required) (Mr, Mrs, Dr, etc) Organization Address City Zip/Post Code State Country E-mail Phone ACCOMPANYING ADULTS AND/OR CHILDREN Name(s) Relationship CONFERENCE FEES Fees Your Payment Member SEK 5 200 SEK Corresponding member SEK 2 500 SEK Student member SEK 1 500 SEK Sponsor (person from IRG Regular and local SEK 5 200 SEK sponsor) Non Member SEK 7 400 SEK Student non-member SEK 2 500 SEK Companion (family member -15 years old or older - not SEK 1 700 SEK attending conference sessions) Late registration (add if you register after 15 May 2017) SEK 500 SEK Companions Tour Monday 5 June SEK 650 SEK Companions Tour Tuesday 6 June SEK 1000 SEK Companions Tour Thursday 8 June SEK 700 SEK Total fee to be paid to the IRG Secretariat SEK Method of Payment Bank Transfer to Svenska Handelsbanken (see Money Transfer Details) Cheque in SEK made payable to the IRG Secretariat
Conference Registration Form for Delegates and Companions DELEGATE INFORMATION Name (required) (Mr, Mrs, Dr, etc) Organization Address City Zip/Post Code State Country E-mail Phone ACCOMPANYING ADULTS AND/OR CHILDREN Name(s) Relationship CONFERENCE FEES Fees Your Payment Member SEK 5 200 SEK Corresponding member SEK 2 500 SEK Student member SEK 1 500 SEK Sponsor (person from IRG Regular and local sponsor) SEK 5 200 SEK Non Member SEK 7 400 SEK Student non-member SEK 2 500 SEK Companion (family member -15 years old or older - not attending conference sessions) SEK 1 700 SEK Late registration (add if you register after 15 May 2017) SEK 500 SEK Companions Tour Monday 5 June SEK 650 SEK Companions Tour Tuesday 6 June SEK 1000 SEK Companions Tour Thursday 8 June SEK 700 SEK Total fee to be paid to the IRG Secretariat SEK Method of Payment Bank Transfer to Svenska Handelsbanken (see Money Transfer Details) Cheque in SEK made payable to the IRG Secretariat
IRG48registrationform.docx