Conference registration form
*Full name:
*Working title:
*Email:
*Telephone:
*Company, organization or university:
VAT number:
only for Belgian residents and if you have one
*Street address:
*City/municipality:
*Postal code:
*Country:
(please select a country) Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Republic Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint LUCIA Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Servia Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Isl Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe
* = Required information
Please note that your registration for participation is binding and the full fee has to be paid within the given period.
Profesional/Private practice/Company
Regular fee 195 EUR
AIA Members
95 EUR
Students
45 EUR
Please make payments to
Bank-account number: 310-1688167-65
ING Bank Belgium
Marnixlaan 24
1000 Brussels
Belgium
IBAN paper form: BE18 3101 6881 6765
IBAN electronic form: BE18310168816765
BIC/SWIFT code: BBRUBEBB
IMPORTANT: PLEASE PUT THE PARTICIPANT‘S FULL NAME AS A REFERENCE AND INDICATE “CONFERENCE ENTRUSTING ANTITRUST ISSUES TO ARBITRATION” WHEN MAKING A PAYMENT. IF THOSE DETAILS ARE NOT INCLUDED, WE WILL BE UNABLE TO VERIFY PAYMENT.
Terms and conditions
Method of payment: You will receive further information about the payment procedure after you have completed your registration above. Registration is confirmed when payment has been processed.
Cancellation policy: You are entitled to a full refund of your registration fee if you submit a cancellation request within 24 hours of the conference having received your registration fee. Cancellation requests must be e-mailed to events@arbitration-adr.org . After that period, no refunds will be given for attendees who cancel. However, you may transfer your registration to another person within the same category for registration fees.
*I have selected the correct registration fee and understand the above terms and conditions and I further understand that I am responsible for paying all fees associated with transferring my registration fee to the conference account.
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