Registration Form (1997)

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     This document has been made available in electronic
     format by the International Co-operative Alliance ICA 
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                         July 1997


HOTEL & CONFERENCE REGISTRATION FORM
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(To be returned by 30 August 1997 at the latest)

First name : .............. Last name  :......................
First name : .............. Last name :.......................
(Please only fill in if sharing a room with another participant)

Organisation  :

...........................................................

Address    

City :.................. Country : ..............................
Fax  :...................  Tel : ..............................
E-mail :...................................................

New conference registrations only - please complete : 
Participants wishing to submit a late abstract (1 page) should do it immediately. 
Participants not presenting papers are also welcomed.

 I intend/do not intend to present the paper :

(title).........................................................
Theme (sub-theme)addressed: ....................................

PAYMENT ARRANGEMENTS :


Registration fee until 30 August 1997 : USD 110  ..... person(s)
Registration fee after 30 August 1997 : USD 130 ..... person(s)
Price includes participation to all sessions, morning and afternoon coffee, 
lunches and dinners.

Hotel reservation : from Thursday 2nd October until Sunday 5th October morning : 
Hotel reservation : 
USD 140 (single) for 3 nights..... room
USD 220 (double) for 3 nights..... room 
Spouse's fee : USD 90  Mr./Mrs. .......................................................
(includes lunches and dinners only)

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Full refund until 30th August, after which no money is refundable.
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Payment : Either bank transfer (please enclose copy)  to UBS Geneva, 1211 Geneva 2, Switzerland, account no. 205.202.60 Q, swiftcode UBSWCHZH12A;   or credit card :				

..... ......Visa .......... Euro/Mastercard 

Card number : .............................................. 
Expiry date. ...............................................

Signature : ................................................

Please return to :	

Alina PAWLOWSKA
Secretary ICA Research Committee
Route des Morillons 15
1218 Grand-Saconnex, Geneva, Switzerland
Fax no: ++41-22-798.41.22
E-mail: ica@coop.org