World Congress of Chiropractic Students - WCCS Registration Form, 2007

Newsflash

DELEGATE FEE: Late fee $720 before june 16th

Registration

Attention all WCCS affiliates: To register for the WCCS 2008, please click here . Registration closes on June 16 2008.

The registration fee includes WCCS working sessions and materials, hotel accommodation at the Geneve Hotel, 3 meals per day,and day off tour.

Please register before 16 June 2008.

THIS FORM IS TO BE COMPLETED BY EACH DELEGATE. Please ensure that all details are correct and all information is completed. This form will be used for future correspondence and ease of administration

First Name:

Last Name:

College/University:

1. Contact Information

Graduation Year:

Mailing/Postal Address:

Country:

City:

Postal Code

State/Province:

Telephone Number:

Email Address:

T-Shirt Size:

2. Registration

Gender:

College Registration Fee:

Individual Delegate Fee:

3. Hotel Reservations

Rooms (3 Sleeper):

Dietary Preferences:

Yes

Are you vegetarian?

Food Allergies:

Other (Please State):

Early Fee Before May 16 2008:650.00 (USD) Late Fee (May 17 2008 - June 16 2008): 770.00 (USD)

Late Fee (May 17 2008 - June 16 2008): 720.00 (USD)

Hotel expenses are included in the registration fee. Please indicate room preferences. We will make every effort to accommodate your request.

If you experience problems with form submission or don't receive a confirmation popup message of form submission, please contact wccs2008@gmail.com. When we receive your registration, we will contact you with further details. Thanks for registering!

4. Information & Terms

Bank transfer (non-refundable) to be made in United States Dollar (USD), Name of Account: Adriana Tirado Posada
Bank:HSBC
Account Number:6283014159
Swift code:BIMEMXMM

Bank fees: 25.00 (USD) (Please ensure that all bank fees are also paid). Please note that registration will only be approved once confirmation of payment is sent to wccs2008@gmail.com