15th
Annual International Conference
on Conflict Resolution
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Registration
Form
( PLEASE TYPE
OR PRINT CLEARLY)
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____________________________
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Note: This is the official Letter of Invitation required for a Russian 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 Russian consulate/embassy is located that you are applying to for a visa: ________________________________________IMPORTANT NEXT STEPS FOR VISA:
1) The PHOTO PAGE and SIGNATURE PAGE of your passport must be sent directly to HARMONY Institute in St. Petersburg to deliver to the Ministry of Foreign Affairs (MFA) along with their request for your letter.
- Please Scan and Email this as an attached photo file (preferred for accuracy) to HARMONY Institute (attn: Alexander Badkhen) at: group@inharmony.spb.ru
- If this is not possible you please fax a good Xerox copy to HARMONY Institute (attn: Alexander Badkhen) at: Fax # 7-812-373-1330. Telephone # is: 7-812-371-8220
2) Submit the required $45 MFA FEE for your Invitation Letter application to Common Bond Institute.
3) All REGISTRATION FORMS should be sent directly to Common Bond Institute, preferably by Email (simply by copying and pasting this form into an Email, filling it out, and returning by Email). If not possible, fax or mail form to above fax or address.Please allow adequate time to secure your valid Passport, Invitation Letter, & Russian visa.
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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: _____
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BEFORE
March 16: WITHOUT airfare or ground transportation
|
|
8
day (5th -13th): $1,750
( subtract $100 if memb. of endorsing organization)
(nights 5th - 12th) |
| 6
day (6th -11th): $1,490
(subtract $100 if memb. of endorsing organization) (nights 6th -11th) "Conference only" |
| AFTER March 16 2007: (ALL Registrations) |
|
Add $75 + any
applicable increase in airfare, letter of invitation fee, or hotel
cost
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We must apply for your Official LETTER OF INVITATION, which is required by the Russian government for all visas. The current Russian Ministry of Foreign Affairs fee for these letters is: $45, which is required to be paid in advance of submitting the invitation letter application. If applications are submitted late and must be expedited, additional fees are required for processing and DHL express mailing. Whflightere hard copy invitations are required for visa applications, as in Europe, there is an additional DHL "express mail" fee. The Russian government also requires that all visas be registered within 3 days of arrival in the country and charge a VISA REGISTRATION fee of $65. The conference staff will arrange for this visa registration once you are on-site.
DISCOUNTS:
$100 discount off full Conf. fee for: member of IHPA or other endorsing org.s
(see web site list), full-time student, or age 62+ (include proof of status).
$ 75 discount off full Conf. fee for early fully paid registration by 12-31-06
$ 50 discount each off full Conf. fee for groups of 3 or more registering together.
$ 50 for each additional full (US$) registration a participant generatesPACKAGE INCLUDES: Conference fee, full room & board (3 meals and tea break 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 in Russia would be for visa registration fee ($65), personal purchases, or any special services you choose to hire, such as taxis, sauna, massage, etc.
Extended stays available by advanced arrangement at addl. cost. Shorter stays available at reduced cost. Assistance available in hiring ground transport from the airport in St. Petersburg.
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SUMMARY OF CHARGES |
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A minimum deposit of $325 must accompany this form. Full registration fee should be received by March 15, 2007 to avoid late registration fee and to ensure hotel space. Make checks or money orders (US$ only) payable to: COMMON BOND INSTITUTE For convenience, fees may be wired directly. Contact CBI for instructions. |
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Conf. Package
(for____Days) Visa Letter of Invitation fee ( + $45): Visa Registration fee in Russia v( + $65): If Single Room, Additional (+ $20 per day): Other Additional for: __________________ Other Discounts for: __________________ |
$ _____________ $ _____________ $ _____________ $ _____________ $ _____________ $ _____________ |
| TOTAL
CHARGES: Amount Enclosed with registration: Balance Due by March 15, 2007: |
$ _______________ $ _____________ $ _______________ |
| Cancellations received in writing before 3-15-2007 are charged a $325 administrative fee. No refunds can be made for cancellations thereafter. | |
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Common
Bond Institute
Steve Olweean, Director,
SOlweean@aol.com
12170 S. Pine Ayr Drive
Climax, Michigan
49034
USA
1.269.665.9393 (phone and fax)
Website:
http://www.cbiworld.org
CONTACT
US!
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