Personal Contact Information
Title First name *     Last Name * Gender *
 
Company Name * Professional Title/Position
Street Address City *
Postal Code   Country *
 
Email * Business Phone *
Mobile Phone Fax
Special Notes
Emergency Contact Information
Emergency Contact Name * Relationship to You
Emergency phone * Email * Country *
Meals
The following meals will be provided during the Forum. Please mark the meals you plan to attend.
Gala Dinner-17 April      Lunches: 17 April 18 April
Registration Fees:
Early registration    US$600 (JD425) if payment is received before the 1 st of March 2007
Late registration     US$800 (JD570) if payment is received after the 2 nd of March 2007
Method of payment
  Bank transfer
   Payment should be made in US$ or in JD, to be swift transferred to the following account:
   
 Beneficiary : Black Iris
 Bank : Cairo Amman Bank
 Amman - Jordan
 Branch code : 1190 Safeway
 Account No : 785050
 Swift Code : CAAB JO AM


 Please fax a copy of the bank transfer slip to: +962-6- 4653331 AND to +962-6- 4642506







* Required field.
For additional information please contact info@gulfinjordan.net .