Registration Form




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Registration Form

Personal Information

First name: *
Last name: *
Company/Organization: *
Position:
Tel.:	Country Area Phone

Fax:	Country Area Fax

Mobile Phone :
Email :
Mailing Address:
Zip Code:
City: *
Country: *
Are you a JIPA or APPIMAF Member?	Yes No
	Would you like to Register? Click here
Please select the workshop you would like to attend: *
Total	JD	$

Accommodation

To take JIPA rates for accommodation and transportation, please send an E-mail to the contact person at each hotel below and reserve by the name of IPW conference

*Le Meridien Hotel 5* (Conference Hotel)
     Single room          120$ Per Night on B/B Basis
     Double room         140$ Per Night on B/B Basis

     Contact Person: Mr. Ahmed Al Arab
     Tel: +962 6 5696511
     Email: ahmad.arab@lemeridien-amman.com

*Radisson SAS 5* (five minutes from the Conference Hotel)
Single room 93$ Per Night on B/B Basisasisasis
Double room 100$ Per Night on B/B Basis

      Name : Mr. Shukri Ammouri
      Tel : +962 6 5607100
      Email: shukri.ammouri@radissonsas.com.jo

*Amman Cham Palace Hotel 4* (five minutes from the Conference Hotel)
Single room 70$ Per Night on B/B Basis
Double room 90$ Per Night on B/B Basis

     Name: Ms. Singwala Sammor
     Tel :+962 6 5659270
      Email : sales@ammanchamhotel.com

* Kempenski Hotel 5* (five minutes from the Conference Hotel)
Single room 115$ Per Night on B/B Basis
Double room 131$ Per Night on B/B Basis

      Contact Person: Mr. Mouhsin Qandeel
      Tel: +962 6 5200200
      E-mail: reservations.amman@Kempinski.com

(Overall) Total	JD	$

Payment Method:
No. of Rooms :	SGL DBL
Selected Hotel :
Guests full Name :
Check - In :
Check_Out :
Arrival Time :
Departure Time :
Pick – up from Airport :	Yes No
Pick – up to Airport :	Yes No
Flight Details :



Additional Transaction fees: 13.75 $
Additional Transaction fees: 25.45 $

* Required field