IPAM 2013 Registration

Registration Detail

   
Title:
  Passport number:
Nationality:
Name:
 
  Name as in passport:
Organisation (if applicable):
  Date of issue:
Date of expire:
Position (if applicable):
  Institution:
Address:
  City:
Country:
Phone:
Fax:
  Email:
     

Flight Information

   
Arrival date:
Flight:
  Depature date:
Flight:

Delegate Profile

Artist/Company   Festival Director/Programmer
Art Centre Director/Programmer   Independent Producer
Agent/Manager  
Cultural Institution/Goverment        

Accommodation

1. Grand Kemang Hotel ****     Call
2. Arion Swiss-belhotel Kemang ****  
Call
The room rate is quoted per room per night and is inclusive of breakfast and 21% tax & service charge

Registration Fee

International Delegate   Registration is inclusive of :
Full Registration USD 500.00  
  • Entrance to all IPAM performances, venues and events
  • Airport transfers
  • Transport from official hotels to IPAM venues
  • Meals and refreshments
Daily Rate USD 200.00

Payment

I am paying by Credit Card
VISA MASTERCARD  
(Credit Card Authorisation Form will be sent separately)

Refund Policy

1. Prior to October 14th 2013: Full amount less USD 25.00 administration fee
2. Prior to November 1st 2013: 50% of registration fee
3. From November 1st 2013 : No refund


By using this online reservation form means that you
agree to the terms and conditions applicable