Gulf in Jordan Investment Forum & Exhibition

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 *

Registration Fees:
Early registration US$300 (JD 213)** if payment is received before the 15^th of January 2009
Late registration US$400 (JD284)** if payment is received after the 16^th of January 2009
Method of payment
Bank transfer Payment should be made in US$ or in JD, to be swift transferred to the following account: Beneficiary : شركة السوسنة السوداء Bank : Cairo Amman Bank Amman - Jordan Branch code : 1190 Safeway Beneficiary Account: 0250078505000 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 contact@gulfinjordan.net or sales1@lawrenceconferences.com . ** Plus 16% as goverment tax.