Application Form

I wish to attend the Fifth ATLAS Africa Conference,: Tourism and wealth creation,
Kampala, Uganda, 27-29 October 2007

	Mr. Mrs.
Name
Institution
Department
Address
City, Postal Code
Country
Tel
Fax
E-mail Address

Special requests

	I enclose a paper abstract
	Vegetarian meals requested
	I'm interested in chairing one of the workshops

Conference fee

Registration fees - prices in Euro's	ATLAS member	Non ATLAS member
Residence in Africa	€ 75	€ 150
Residence outside Africa	€ 275	€ 350

I am a member of ATLAS

Cancellation policy

After registration and confirmation of this by the ATLAS secretariat, delegates are obliged to pay the conference fee. If written cancellation is received before September 1st 2007, a refund of all meeting fees will be made, minus an administration fee of € 25. No refund will be possible after September 1st 2007, but substitute delegates can be nominated.

Form of payment

As soon as you have been registrated an invoice/receipt will be send.

	I wish to pay by bank transfer
	I wish to pay by credit card (Euro Card Master Card, Visa Card, American Express Card). Please contact the ATLAS secretariat at: admin@atlas-euro.org

Biosketch / CV

For the creation of a detailed delegate list, please fill in this textbox with a small biosketch / CV of not more then 35 words.