Registration

Online Registration for ICACD 2010

Your registration is confirmed upon receipt of your payment.
Please either print the registration form and return it to our office – see contacts page for details or complete the online registration form.

Full Registration:
Your registration fee will cover:
• Access to all official ICACD sessions and activities
• Morning and afternoon break refreshments and lunch each day
• Conference kit
• Conference program

Online Registration Form

Please use this form to register for the International Conference on African Culture and Development (ICACD 2010).

Please NOTE:
Registration is not complete until the registration fee has been received.

PERSONAL INFORMATION *Please note asterix - indicates required fields**
Title		Preferred Name on Tag

First Name*		Last Name*

Email*		Gender
		Male Female
Phone Number		Mobile Phone

City		Postal Address

Zip Code

State

Country		Organization*

Privacy (please check the box)
I do not wish to have my name and organization included in a public list of conference delegate
Date of Birth		Passport Number

Passport Expiration Date		Special Needs

Visa Assistance?
Yes No
Your Citizenship

PAYMENT INFORMATION
Registration
(students must send proof of full time student status to info@icacdafrica.org. We accept either a valid student card or a letter from the university).		Payment

Payment Mode
Bank Wire
Western Union Money Transfer (payment should be made payable to Samuel Appiah Kubi .The code number and receiving information about the transfer should be emailed to info@icacdafrica.org.
		Any Special Needs? (please indicate any special requirement(s) whether health, diet or language which we should be informed of).
If you are requiring to be picked up from and delivered to the airport – please send an email to: bismark@icacdafrica.org with details including date of arrival, time of arrival, flight number, airline name and the name of the hotel you will be staying at.


Contact Person (in case of emergency)
Full Name:
Relationship to you:
Email:
Phone:
Cancellation Policy Notification of any alterations or cancellations must be sent by email to Bismark Appiah-Kubi – bismark@icacdafrica.org. Any delegate cancelling before Friday 16th October 2010 will receive a refund of registration fees, less an administrative fee of $75.00USD. No refunds will be made after Friday 16th October 2010. If you are unable to attend, you may nominate someone else to attend in your place at no additional cost.

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Please Note

Registration for ICACD is open now.

Click the registration button to register or contact Bismark our administrator: bismark@icacdafrica.org
for more information