14th INTERNATIONAL CONFERENCE ON ABOLITION THE UNIVERSITY OF THE WEST INDIES ST. AUGUSTINE, TRINIDAD AND TOBAGO JUNE 12 15, 2012 – ICOPA - 14 REGISTRATION FORM Name Institution / Organisation Address (inc. postal code) Country E-mail Phone Please delete as appropriate CONFERENCE DELEGATE / PRESENTER / PANELLIST / OTHER Are you participating as a: If applicable, please give details below including any specific requests, e.g. powerpoint YES / NO Do you intend to submit a paper? If yes, have you submitted an YES / NO abstract? Are you a student? YES / NO YES / NO Will you be accompanied by any friends/ family members? If yes, please give details below. YES / NO Do you require assistance with booking accommodation? If yes, please indicate below what type of accommodation you are looking for Your arrival details (please include time of arrival, flight number, etc.) Would you like us to arrange an YES / NO airport pick up? Date of departure Tues pm YES/NO Wed 13 YES/NO days are you attending? Thur 14 YES/NO Fri 15 YES/NO Notes / details 1 day attendance - $250 TT / $40 US 3 day attendance - $600 TT / $100 US Conference fees: We are currently investigating payment options. For now, please register without payment. Please note that we may be able to offer a discounted conference rate in certain circumstances. Signature Date Please complete and return this form to: ICOPA14TT@GMAIL.COM
14th INTERNATIONAL CONFERENCE ON ABOLITION THE UNIVERSITY OF THE WEST INDIES ST. AUGUSTINE, TRINIDAD AND TOBAGO JUNE 12 – 15, 2012 ICOPA - 14 REGISTRATION FORM Name Institution / Organisation Address (inc. postal code) Country E-mail Phone Please delete as appropriate Are you participating as a: CONFERENCE DELEGATE / PRESENTER / PANELLIST / OTHER If applicable, please give details below including any specific requests, e.g. powerpoint Do you intend to submit a paper? If yes, have you submitted an abstract? YES / NO YES / NO Are you a student? YES / NO Will you be accompanied by any friends/ family members? YES / NO If yes, please give details below. Do you require assistance with booking accommodation? YES / NO If yes, please indicate below what type of accommodation you are looking for Your arrival details (please include time of arrival, flight number, etc.) Would you like us to arrange an airport pick up? YES / NO Date of departure days are you attending? Tues pm YES/NO Wed 13 YES/NO Thur 14 YES/NO Fri 15 YES/NO Notes / details Conference fees: 1 day attendance - $250 TT / $40 US 3 day attendance - $600 TT / $100 US We are currently investigating payment options. For now, please register without payment. Please note that we may be able to offer a discounted conference rate in certain circumstances. Signature Date Please complete and return this form to: ICOPA14TT@GMAIL.COM
Registration_form%20ICOPA.docx