IP Week Jordan 2008 - Registration Form




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Registration Form

Participation Fees:

          - Regional Anti-Counterfeiting Forum
           JIPA Members                JD 150 = USD 215
            Non – Members              JD 300 = USD 450

          - Franchising Course
            JIPA Members                JD 125 = USD 177
            Non – Members              JD 250 = USD 353

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 Member?*	Yes No

Please select the workshop you would like to attend: *
Total	JD	$

Accommodation & Transportation

Hotels rates through JIPA

*Grand Hyatt Hotel 5* (Conference Hotel)
Single room 154$ Per Night on B/B Basis
Double room 179$ Per Night on B/B Basis

*Radisson SAS 5* (five minutes from the Conference Hotel)
Single room 102$ Per Night on B/B Basis
Double room 111$ Per Night on B/B Basis

*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

*Prices based on bed and breakfast basis and inclusive of all taxes. Payments should be settled with the hotel directly upon check-out. If you need hotel reservation through JIPA please fill below


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 :

Total	JD	$
Payment Method:*


Additional Transaction fees: 13.75 $$
Additional Transaction fees: 25.45 $
Your registration will be confirmed once your payment is received

* Required field