REGISTRATION FORM

Personal information

Title:
First name:
Last name
Institutional affiliation
Please enter this information in the form you want it to appear on your name tag

Contact information

mailing address
City
State/Province
ZIP/Postal Code
Country
Telephone
Email  

Various

Please indicate below if you have any dietary restrictions or other special needs that the organizing committee should know about.
For information about accommodation and travel, see the conference website and www.trondheim.com/engelsk/

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Conference fee

The conference fee is NOK 2,000, or € 255 or USD 370. This covers the guided tour of Nidaros Cathedral and the conference dinner on 21 June, lunch and coffee at the conference hotel for all the four days, and the boat trip and dinner on 23 June. Cancellations after 21 April 2010 are non-refundable. Plenary speakers and participants who have been granted travel support are exempt from paying the conference fee.

A reduced conference fee is also available. This fee covers participation at the conference and lunch and coffee at the conference hotel, but none of the other events. The reduced conference fee is NOK 1,000, or € 130 or USD 185.

The conference fee can be paid either by bank transfer or by charging it to your credit card. For the moment, we can only accept Visa.

Category of participation:
[ ] Regular participant with full conference fee
[ ] Regular participant with reduced conference fee

I have paid the conference fee to PRIO's account 8200.01.44904 in DnB NOR Bank ASA (IBAN: NO96 8200 0144 904, Swift code DNBANOKKXXX) and marked the payment 'Conference June 2010, project no. 402124'.

[ ] Please charge the conference fee to my credit card:

Name on credit card:

Type of credit card:

[ ] Visa (For the moment, we cannot accept other cards.)

Credit card number:

Expiration date:

Amount:

Send the form as an attachment to an e-mail to climsec@dknvs.no.

Alternatively, print the form, sign it, and fax it to: Climate Change and Security Conference, c/o Nils Petter Gleditsch, PRIO, fax: +47–22 54 77 01. (Please notify us by e-mail that you have faxed the form.)

Please return the completed form as soon as possible.