IAPH Mid-Term Conference

Atlapa Convention Center, Panama City, Panama


Registration Form

DELEGATE INFORMATION

Are you an IAPH member?(*)

YesNo

Title(*)

Mr.Mrs.Mss.Other.

Please indicate if you need special assistance(*)

YesNo

Will you attend the Technical Visit on Friday, 05/13/16?(*)

YesNo

TRAVEL INFORMATION

Arrival Date(*)

Departure Date(*)


Do you require an invitation letter?(*)

YesNo

ADDITIONAL INFORMATION

Will a guest accompany you?

YesNo



Member Cost: $650(USD) – Includes one (1) accompanying guest. Member registration includes admission to: Board Meetings, Technical Meetings, Port Forum, Dinner Receptions and Social Events.


Non-Member Cost: $750(USD) – Includes one (1) accompanying guest. Non-Member registration includes admission to: Technical Meetings, Forum, Dinner Receptions and Social Events.


Additional Accompanying Guest Cost: $100 (USD) Accompanying Guest Program includes admission to: Dinner Receptions and Social Events.


Total Investment:

0 Member pass

0 Guest

$ 0


DISCLAIMER:

Cancelled registrations will be charged a 100 (USD) administrative fee. Registrations cancelled after Friday, 08 April 2016 will not be refunded.


Any other questions about registration, feel free to mail registration@iaphpanama2016.com.


If you are unsure about needing a visa to enter Panama, please visit the following link: