Achieving Quality in Health Care: Challenges for Education, Research and Service Delivery
International Conference October 10 - 15, 2009
In cooperation with the Center for Educational Development, University of Jordan, Amman, Jordan
Post-Conference Excursion to Mu'tah University, Karak, Jordan - October 16, 2009
Introduction
Information
Programme
Secretariat
Submission of abstract/proposals
Registration
Registration status
The Network: TUFH
REGISTRATION
With this form you can register for the Network: TUFH 2009 Conference in Amman and Post-Conference Excursion to Karak, Jordan.

The * fields are required


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 October 10





I am also registering for:

Social event - 30th anniversary of The Network: TUFH on
Monday October 12 (information available at: http://www.the-networktufh.org/conference/programme.asp)


I am also registering for:

The post-conference excursion to Mu'tah University, Karak on
Friday October 16 (information available at: http://www.the-networktufh.org/conference/programme.asp)


Accompanying person


I will bring an accompanying person to the main conference in Amman, Jordan

My accompanying person will also attend the social event - 30th anniversary of The Network: TUFH on Monday October 12

I will bring an accompanying person to the post-conference excursion to Mu'tah University, Karak on Friday October 16

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 July 1
Conference registration fee: US $ 600 after July 1
Pre-conference workshop fee: US$ 100
Social event fee: US$ 50
Post-conference excursion fee: US$ 100

Non-members of The Network: TUFH
Conference registration fee: US $ 600 before July 1
Conference registration fee: US $ 650 after July 1
Pre-conference workshop fee: US$ 100
Social event fee: US$ 50
Post-conference excursion fee: US$ 100

Staff participants from Jordan
Conference registration fee: US $ 300
Partial registration fee: US$ 175
Pre-conference workshop fee: US$ 50
Social event fee: US$ 50
Post-conference excursion fee: US$ 70

Student participants from Jordan
Conference registration fee: US$ 200
Partial registration fee: US$ 125
Pre-conference workshop fee: US$ 50
Social event fee: US$ 50
Post-conference excursion fee: US$ 70

Students
Conference registration fee (undergraduate): US$ 200
Conference registration fee (postgraduate): US$ 400
Pre-conference workshop fee: US$ 50
Social event fee: US$ 50
Post-conference excursion fee: US$ 70

Accompanying persons
Main conference programme fee: US$ 175
Social event fee: US$ 50
Post-conference excursion fee: US$ 100

Hotel deposit
US$ 150 or a credit card to guarantee the booking

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) 2009 Network: TUFH conference - Jordan;
3) without costs for the receiver

Bank charges are applicable.

Cheque
Preferably drawn on a Dutch Bank to the attention of the 2009 Network: TUFH Conference - Jordan.
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

October 2009

Departure date

October 2009

Type of room



Name roommate




My roommate is
Participant Accompanying person


Accommodation in Amman (main conference)
In case not otherwise indicated, the rates are per room, per night, including breakfast and taxes.


 Holiday Inn (Conference venue)
Single room: JOD 77,50 (approx. US$ 110)
Double room: JOD 86,25 (approx. US$ 122)
http://www.amman.holiday-inn.com

 Jerusalem International
Single room: JOD 65 (approx. US$ 92)
Double room: JOD 75 (approx. US$ 106)
http://www.jerusalem.com.jo/

 Fanar Palace
Single room: JOD 50 (approx. US$ 70)
Double room: JOD 65 (approx. US$ 92)
http://www.alfanarpalacehotel.com/

 Arena Hotel
Single room: JOD 40 (approx. US$ 56)
Double room: JOD 55 (approx. US$ 78)
http://www.arenahoteljordan.com/

 Only for students - Accommodation at hosting family



 Own accommodation