The Network: TUFH Conference

Gender*

Title*

First name*

Family name*

Position*

Department

Faculty/School

Institute | University | Organisation*

Mailing address*

City*

Zip code

State

Country*

Telephone*

Email*

Internet

Abstract Thematic poster session

Abstract (will be) submitted

Proposal for Mini-workshop

Proposal (will be) submitted

Proposal for Didactic session

Proposal (will be) submitted

Special food requirements

I am also registering for:

Pre-conference workshop on Saturday September 27

Please click only one option!

I am also registering for:

The post-conference excursion to Health Center Agua de Dios on
October 3 (information available at: http://www.the-networktufh.org/conference/programme.asp)

I am also registering for:

The post-conference excursion to Valledupar - Sierra Nevada de Santa Marta from October 3 - 5 (information available at: http://www.the-networktufh.org/conference/programme.asp)

Accompanying person

I will bring an Accompanying person to the main conference in Chía-Bogotá

I will bring an Accompanying person to the post-conference excursion to Health Center Agua de Dios on October 3

I will bring an Accompanying person to the post-conference excursion to Valledupar - Sierra Nevada de Santa Marta from October 3 - 5

Accompanying persons may not attend the conference sessions and workshops!

Sponsoring a conference attendee

We invite you to make a donation toward sponsoring conference attandees from developing countries
(Check only ONE box)

$5 $10 $15 $25 $50 $100

Payment details

Members of The Network: TUFH
Conference registration fee: US $ 550 before June 1
Conference registration fee: US $ 600 after June 1
Pre-conference workshop fee: US$ 100
Post-conference excursion fee:
- Agua de Dios: US$ 100
- Valledupar - Sierra Nevada de Santa Marta: US$ 200, excl. flight ticket COP 517.000 (approx. US$ 320 - subject to currency differences)

Non-members of The Network: TUFH
Conference registration fee: US $ 600 before June 1
Conference registration fee: US $ 650 after June 1
Pre-conference workshop fee: US$ 100
Post-conference excursion fee:
- Agua de Dios: US$ 100
- Valledupar - Sierra Nevada de Santa Marta: US$ 200, excl. flight ticket COP 517.000 (approx. US$ 320 - subject to currency differences)

Staff participants from Colombia
Conference registration fee: US $ 225
Partial registration fee: US$ 120
Pre-conference workshop fee: US$ 50
Post-conference excursion fee:
- Agua de Dios: US$ 50
- Valledupar - Sierra Nevada de Santa Marta: US$ 200, excl. flight ticket COP 517.000 (approx. US$ 320 - subject to currency differences)

Student participants from Colombia
Conference registration fee: US$ 140
Partial registration fee: US$ 75
Pre-conference workshop fee: US$ 50
Post-conference excursion fee:
- Agua de Dios: US$ 50
- Valledupar - Sierra Nevada de Santa Marta: US$ 200, excl. flight ticket COP 517.000 (approx. US$ 320 - subject to currency differences)

Students
Conference registration fee (undergraduate): US$ 200
Conference registration fee (postgraduate): US$ 400
Pre-conference workshop fee: US$ 50
Post-conference excursion fee:
- Agua de Dios: US$ 50
- Valledupar - Sierra Nevada de Santa Marta: US$ 200, excl. flight ticket COP 517.000 (approx. US$ 320 - subject to currency differences)

Accompanying persons
Main conference programme fee: US$ 150
Post-conference excursion fee:
- Agua de Dios: US$ 100
- Valledupar - Sierra Nevada de Santa Marta: US$ 200, excl. flight ticket COP 517.000 (approx. US$ 320 - subject to currency differences)

Hotel deposit
US$ 150 for Hotel Cosmos 100, Belvedere, Hotel Andes Plaza en Hotel Suites Real 97
US$ 75 for Casa Real

Note: Please do not yet include the payment for the post-conference excursion to Valledupar - Sierra Nevada de Santa Marta from October 3 -5. Participants will first be put on a waiting list and they will receive more information.

Total to pay (excluding bank charges):

US$

Credit card
Click here to enter your credit card details in a secured environment.

Details will follow by fax. (click here to download the form)

Currency exchange differences may incur additional charges. An additional 5% processing fee will be added.

Bank transfer
Account no. 46.47.45.497, ABN-AMRO Bank,
Avenue Ceramique 27, 6221 KV Maastricht, The Netherlands.
BIC code: ABNANL2A / IBAN: NL22 ABNA 0464 7454 97
Please indicate
1) your name;
2) 2008 Network: TUFH conference – Colombia;
3) without costs for the receiver

Bank charges are applicable.

Cheque
Preferably drawn on a Dutch Bank care of
2008 Network: TUFH Conference – Colombia.
Pls. use only 1 cheque for registration + hotel deposit

Bank charges of US$ 17 are applicable.

Accommodation

Participants/Accompanying persons can stay in one of the below mentioned accommodations. Accommodation requests will be handled on a first come-first serve basis. Reservations can only be made after receipt of your hotel deposit and arrival/departure date.

Arrival date

September 2008

Departure date

October 2008

Type of room

Name roommate

My roommate is

Participant Accompanying person

Accommodation in Chía-Bogota (main conference)
When not otherwise indicated, the rates are per room, per night, including breakfast and taxes.

Hotel Cosmos 100
Single room: US$ 125,00
Double room: US$ 155,00
http://www.cosmos100.com

Hotel Andes Plaza
Single room: US$ 90,00
Double room: US$ 110,00
Triple room: US$ 175
Rates do not include 10% taxes
http://www.hotelandesplaza.com.co

Suites Real 97
Single room: US$ 62,50
Double room: US$ 65,00
Rates do not include 10% taxes
http://www.suitesreal.com

Casa Real (Bed and Breakfast)
Sharing room (2 persons): US$ 43,00

Only for students - Accommodation at Hosting Family

Own accommodation