Registration for the EPA General Assembly and Conference in Paris
<b><font size=4 color=#0000aa>Challenges in Education for the 21<sup>st</sup> Century</font></b>

September 21 to 22, 2012 in Paris/France
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Name *
Please enter your last name here
Christian Name *
Please enter your first name(s)
Association *
Name of the delegating association or function that motivate you to take part
Address *
Enter a complete qualified mail address including City and ZIP-code  (private or association)
Country *
Telephone number *
use the number you think is most useful. Usually it is the mobile phoe you carry with you
Fax-number
if applicable and useful - private or association
e-mail address *
Please check the e-mail address as you will not receive the confirmation if the address is erronous!
Required room type *
I need hotel reservation for the following nights *
Please mark your selection
Required
Additional requirements or comments
please let us know about dietary needs, comments about your private schedule or specific interests
I travel by *
Date and time of arival *
Identification of flight/train
Please enter the Code of your flight or train
Date and time of departure *
Identification of flight/train
Please enter the Code of your flight or train
Financial
Please mind that EPA's sposored participation fee is only available for three delegates per full member, two delegates of an associate member an one affiliate member's delegate.

Participation fees for non-members are available on request.

Your submission is seen as a confirmation that your association transfers the appropriate amount of money to EPA's account:
EPA
Banca Monte Paschi Belgio
IBAN: BE07 6430 0218 1466
BIC/SWIFT: BMPBBEBB

Booking for additional nights has to corrsepond with the dates of arrival and departure in the above section.
        single room: EUR 130,- per night
        double room: EUR 170,- per night
the transfered amount corresponds *
Required
Additional accomodation
Clear selection
Information to include in your Bank transfer
To correctly allocate your payment we ask to include the following information:
+    Name(s) of delegates
+    Name of the association
+    "GA Paris"
It is advisable to mail a digital copy of the bank order to ga@epa-parents.eu
Overall payment transferred *
Please enter the overall amount your association will transfer to cover your fee and additional expenses as listed above.
Contact
Please address any requests to ga@epa-parents.eu
Submit
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