IAMIC Annual Meeting, General Assembly & Conference 2016, 10-14 June Galway, Ireland

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Hosted by Contemporary Music Centre, Ireland.

Participant Information

You are invited to type or use block capitals.
Please submit the booking form before 1 April 2016.
Please use a separate booking form for each IAMIC delegate.

Last Name *

First Name *

Organisation

Address (City, Country, Post Code) *

Phone *

Email Address *

Arrival Date (dd/mm/yyyy) *

Departure Date (dd/mm/yyyy) *

Total number of nights:

Special Needs (diet, access etc.)

Registration *

Delegate fees: €150 (includes annual conference, scheduled meals and social events)

Accommodation - Single occupancy - Nightly Rate: €133

Accommodation - Double Occupancy - Nightly Rate: €144

Accompanying person attending scheduled meals and social events: €80

Accompanying person attending only the IAMIC annual conference fee: €40

Accompanying person attending both the conference and the scheduled meals and events: €120

Required

Please supply information of 2nd person accommodated

Name of 2nd person accommodated:

Email of 2nd person accommodated:

If the 2nd person accommodated is also a IAMIC delegate please inform us here:

Comments:

Payment

Invoices with payment details will be sent directly to all registered delegates by the IAMIC office.

Cancellation

Cancellation will be possible until 10 May 2016. The amount paid will be reimbursed after deduction of bank charges. We regret that cancellations after that date cannot be refunded.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Contemporary Music Centre.