10th IAALD World Congress - Registration Form

IAALD 10th WORLD CONGRESS
Dakar, Senegal, 24 to 28 January 2000

Hotel registration form

Novotel Hotel "In the Heart of Downtown Dakar" is please to be your host hotel. Rate is valid  from 20 to 30 January, 2000. Please complete the form below to request a room reservation. Reservation become secured when you received a hotel confirmation number. Complementary airport shuttle service available daily. 

Special Rom Rates (Bed and Breakfast per : FF 349 (CFA = 34 900)  per night.
This rate includes tax  per room and  per night. All reservation must be guaranteed.

NAME: 


ADDRESS: 


CITY:                                            STATE:                                                  ZIP: 


TELEPHONE:  (HOME):                                                  (WORK): 


ARRIVAL DATE:                                                   DEPARTURE: 


CREDIT CARD NUMBER:                                                            EXPIRY DATE: 


NUMBER OF BEDS:                                      NUMBER OF PEOPLE: 


SPECIAL REQUETS: 


SIGNATURE:                                                                                DATE 


Room type subject to change without notice. Please be advised that check-out time is at 12 noon. 

YOU MAY FAX THIS FORM TO (221)  823 89 29  OR SEND AN EMAIL TO:
novotel@metissacana.sn
HOTEL NOVOTEL, Avenue Abdoulaye Fadiga
BP 2073 Dakar, Senegal
Tel.: (221) 823 10 90 - (221) 823 88 49
Fax: (221) 8238929 ; telex: 21831

HICCconfirmation: 


 

IAALD 10th WORLD CONGRESS
Dakar, Senegal, 24 to 28 January 2000

Registration form

Registration forms should be sent as soon as possible, and must be received by the National organising committee of the IAALD World Congress no later than  the 31 October 1999 if you wish to be eligible for a reduced registration fee of US  $ 300 for IAALD members and US$ for non-members. After that date the normal full registration fee of US$ 350 for members and US$ 400 for non-members will apply. They must be accompanied by a check made out to Centre de Suivi Ecologique (address below). Those wishing to send money by bank transfer should use the following: Account N° 09520 0777691 01 BICIS, 2 Avenue du Président Léopold Sédar Senghor, Dakar, Sénégal-correspondant Europe BNP.

IAALD MEMBER:   yes   or   no   (circle the appropriate option) 

FAMILY NAME: 


FIRST NAME:


COMPANY/ORGANIZATION: 


TITLE: 


FULL MAILING ADRESS:


TELEPHONE (OFFICE):                                              (HOME): 


FAX NUMBER:


EMAIL ADDRESS (if available): 


ARRIVAL DATE:                                                DEPARTURE DATE:


PLEASE INDICATE DATE OF SUBMISSION:


Send this completed form (by email, fax or mail) to:
M. Djibril N'Diaye 
Centre de Suivi Ecologique 
Rue Léon Gontran Damas, Fann Résidence 
BP 15532 Dakar, Sénégal 
Tel.: (221) 825 80 66 - (221) 824 80 67 ; Fax (221) 825 81 68 ; E-mail: djibril@cse.sn