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AGM REGISTRATION FORM

Surname & Other Names

Nationality

Company

Official Title

Address

Phone

Fax:

Country

Type of Passport

Passport Number

Issued On

Expiry Date

*Member

Observer

Spouse: (If accompanied) Surname & Other names

*Language:

English

French

Arrival Date:

Flight Number

Time

Date of Departure		Flight Number		Time
Email:

ACCOMODATION
(mark the appropriate box)

HOTEL		TARIF US$ 1 =1.345 Dinar 1 Euro = 2.146 Dinar
		SINGLE	DOUBLE
Hotel AFRICA (Venue of the meeting)		155 Dinars	175 Dinars
Hotel EL HANA INT'L (200metres from Hotel AFRICA)		75 Dinars	110 Dinars
Hotel TUNISIA PALACE (400metres from Hotel AFRICA)		90 Dinars	110 Dinars
Reservation From	To

N.B: Rates inclusive of tax