Registration form - Cape Town Mini-Conference 2014
Esperantlingva aliĝilo: https://docs.google.com/forms/d/1q8AWtRStBBByMI1Qvbrs5M1CPTFehLINihmZDyLVgOI/viewform?usp=send_form

Arrival: Thursday, 23 October
Departure: Sunday, 26 October

Bring: a towel (otherwise, available for a nominal fee)

Conditions

1. EASA will only book and pay for members/participants who have registered and paid on time. (before 5 September 2014)
2. Transport must be paid by the participants themselves.
3. The conference fee includes: simple breakfast, lunch, supper and 2 tea breaks daily. One evening will be a braai. Anything else (other meals, beverages, services of the lodge or conference venue, etc.) must be paid by the participants themselves.
4. The accommodation mentioned below is the basic (dorms and shared bathrooms). If you need something more luxurious, please let us know.
5. The payment (basic fee and accommodation) must be received before the 5th of September 2014.

Payment methods:
Pay into the account of EASA using your name as reference. The banking details are:

Account number: 2656337054
Generic Branch Code:198765 (NEDBANK)

Proof of payment must be sent to: johan.kohler@gmail.com

First Name *
Your answer
Surname *
Your answer
ID/Passport number *
Your answer
Contact number *
With country code, please
Your answer
I live in: *
country of residence
Your answer
My email address is: *
Your answer
I am a member of EASA for 2014: *
I want to register in the following category and will pay the indicated basic fee *
Category A = financially able, Category B = not financially able
I will stay in a dorm room at Riverview Lodge on the following nights *
EASA members: R80/night, Others: R160/night
Required
My meal preference is: *
I would like to present a talk or guide a session:
Your answer
I will pay by: *
The amount that I need to pay is: *
Basic cost + accommodation
Your answer
I agree to the conditions above: *
Submit
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