EAGC : 4th African Grain Trade Summit 2011

Venue & Accommodation Registration Form

Event: EAGC meeting

Date of Booking:

Tuesday 7 February 2012

Personal Particulars

Last Name:

First Name:

Company:

Passport Number:

Date of Birth:

Email Address:

Nationality:

Address:

Phone:

Fax:

Mobile:

No. of Guests:

Origin of Guest:

Single room B & B 195.00 USD taxes included
ACCOMMODATION
Arrival Date:		Departure Date:
Number of Nights:		Room Type:
Room:	Single Double	Smoking:	Yes No

TRANSFER SERVICE
Airport pickup at $20 person per trip
Flight Details:
Expected time of Arrival:		Expected time of Departure:
Service Required:	Yes No

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