Registration Information (2009 fees and full information to be posted soon)

Please complete separate forms for each person registering, and TYPE OR PRINT CLEARLY.

Mail to: Common Bond Institute (See Contact Information at the Bottom of this Page)

NAME (Exactly as on passport): ____________________________________________________

Address: _________________________________________ City ______________________

State _______________ Country _________________________________ Zip __________

Phone day ( ____ ) ______________________ evening ( ____ ) _______________________

Fax ( ____ ) _________________________ E-mail____________________________

Visa Information

Note: This is the official Letter of Invitation required for a visa. Complete ALL items FULLY and CLEARLY. PLEASE PRINT *(see more about Cost Information)

NAME (exactly as on passport): ________________________________________
Date of Birth: __________ Gender: ____ Citizenship: _______________________
Place of Birth: _________________________________________________________
Home Address: ________________________________________________________
_____________________________________________________________________
Home Phone number: ___________________________________________________
E-mail _______________________________________________________________
Occupation/Employment Position: __________________________________________
Place of Employment or School: ________________________________________________
Full Address of Employment or School (if self-employed use home address): _____________ __________________________________________________________________________
Work Phone/Fax: __________________________________________________
* FAX Where You Can Receive LETTER OF INVITATION: _________________________
Passport # __________________________ Exp. Date: ___________ Issue Date: __________
City in your country where consulate/embassy is located that you are applying to for a visa: ________________________________________

Housing Information

NOTE: All rooms are for Double (shared) occupancy . **For single room add $20 per day (i.e.$160 for 8 days). Please indicate if you have a specific roommate. If you are not in a single room and a roommate is not listed, one will be assigned. Please indicate one preference for each option:
Room: __ Double __ Single __ Smoking __ Non-smoking __ Male __ Female
Meal Preference: __ Vegetarian __ White meat (fish, poultry) __ Red meat (beef, pork)
Specific Roommate: _______________________________________________
Dates Of Attendance: Specific Arrival & Departure dates from Hotel: Arrive: _____ Depart: _____

Package Fees (to be posted soon)

DISCOUNTS:
$ 50 discount off full Conf. fee for early fully paid registration by 12-31-08
$ 50 discount each off full Conf. fee for groups of 3 or more registering together.
$ 50 for each additional full (US$) registration a participant generates

PACKAGE INCLUDES: Conference fee, full room & board (3 meals per day), conference cultural events, farewell banquet, interpreters, all site management & support services, and communications. The pre/post conference (8-day) stay also includes all local transportation, tickets for cultural events & tours, & guides, arranged professional visits. In general, the only additional costs while at the conference would be for visa registration fee, personal purchases, or any special services you choose to hire.
Extended stays available by advanced arrangement at addl. cost. Shorter stays available at reduced cost. Assistance available in hiring ground transport from the airport.