For online registration go to the website (www.appropriatetech.net) or you can copy and complete the form below and email to jtrimble@howard.edu
3rd International Conference on Appropriate Technology
Kigali , Rwanda
November 12 – 15, 2008
“Promoting Research and Practice in Appropriate Technology:
Energy Solutions in the Era of Climate Change”
| Official Use Only Date Received: _____________ |
Conference Registration Form
Name Badge and Mailing Information (use a separate form for each person)
Name: ________________________________________________ (for ATC database)
Badge Name: _____________________________ (this name will appear on your name badge)
Title: __________________________________________________________________
Department/Unit: ________________________________________________________
Institution/Organization: ___________________________________________________
Mailing Address: ________________________________________________________
City______________________State/Province: _____________________Country_______Postal Code____ Work Phone: __________________ FAX: _______________________e-mail address_________________
Conference Registration Fee
Professional
Early Bird Regular Amount
(Before 09/30) (After 9/30) Enclosed
Local Frw56,000 Frw60,000 _________
African Countries $125 $150 _________
International $225 $250 _________
Student/Unemployed
Local Frw27,000 Frw30,000 _________
African Countries $65.00 $75.00 _________
International $110.00 $125 _________
Workshop Fees (Check Workshop To Register, Fee is $20 per Workshop) _________
□ Solar Powered Housing; □Solar cookers ; □ Website Development; □ Micro-Hydro Power Generators; □ Biomedical engineering; □ Local Energy Research Center
TOTAL ENCLOSED……………………………………………….. _________
Accomodation Information: The conference hotel is the Hotel Serena; Alternative Hotels are listed on the Conference Website and Attendees are requested to make their reservations directly with the hotel. We request that you provide this information so the local planning committee can organize adequate transportation for delegates to the Hotel Serena.
| Method of Payment (Check the appropriate one) African registration: Make bank transfer to UmutarUniv./ATConference, account #103-11500-03-39, BCDI/Ecobank, International Registration: Make check payable to NCCBPE/AT. Send to: NCCBPE, Appropriate Technology Conference, P.O. Box 1686, Oakland, CA 94619, USA; Bank Transfers: Swift Address:BOFAUS3N; Beneficiary Bank Name: Bank America; Beneficiary Bank Address: 100 N. Tyson St., Charlotte, NC 282 Total Enclosed ________________ Signature ___________________________________Date_____________ |
