SIIE’2008 REGISTRATION FORM

 

Form to be full-filled and returned before 15th January 2008

by E-mail to malek.ghenima@escem.rnu.tn

or by fax to   +216 71602662

 

Cheque or Order form is to be sent before 15th January 2008 by fax to +216 71602662 or by postal address to:

Mr Malek GHENIMA

Ecole Supérieure de Commerce Electronique

Campus Universitaire de la Manouba - 2010 La Manouba, Tunisie

 

Mr   Mrs   Ms        Given name:.................................................................... Surname:............................................................... ........................................................

Organisation: ...................................................................................................................................................................................................

Postal Address: ................................................................................................................................................................................................

Postcode: ............................................... City: ....................................................... Country: ........................................................................

Telephone: ............................................. Fax: ......................................................   E-Mail:............................................................................

Status:    Academic   Business    Student                                     Maghreb resident:    yes    no

 

 

 

REGISTRATION FEES

 

 

Participants

 

Academic

(from Maghreb)

Academic

 (outside Maghreb)

Students

(from Maghreb)

Students

(outside Maghreb)

Business

(from Maghreb)

Business

(outside Maghreb)

Package:  registration + accommodation (full pension)

350 TND

(210 €)

300 €

250 TND

(150 €)

200 €

500 TND

(300 €)

500 €

1 extra night

55 TND

(35 €)

55 €

55 TND

(35 €)

55 €

55 TND

(35 €)

55 €

Extra fee for Single room
(per night)

12 TND

(7 €)

12  

12 TND

(7 €)

12  

-

-

Extra fee for accompanying person (per night, full pension)

55 TND

(35 €)

55 €

55 TND

(35 €)

55 €

55 TND

(35 €)

55 €

TOTAL (for you): ………………

TOTAL (for your accompanying person): ………………

Registration fees include: a binder, the conference proceedings, a welcome package, coffee break (14th, 15th, 16th February), Lunch (14th, 15th February), Dinner gala (15th February), the president lunch (16th February) and the accommodation during the 3 nights (14, 15, 16 February) in full pension for a shared double room (extra fee for single room: 12 TND (or 12 € outside Maghreb) per night).

The student price per night concerns a shared triple room.

 

DISCHARGE

 

To be addressed to: Association Culturelle de l’Ecole Supérieure de Commerce Electronique

By (check one case only):

-          Bank transfer (see page 2 for more details)

-          Cheque

-          Order form

-          Cash (during the conference) (extra 20 % applied)

NB : For students, please join to this form a copy of your student card or university registration.
I certify on my honour that the above information,                                                                                   Date and autograph

Given
Name: ……………………………   Surname: ……………………………

 
 

Information about bank transfer

 

 

Bank Identification of :

 

l’ Association Culturelle de l’Ecole Supérieure de Commerce Electronique

at

l’ Ecole Supérieure de Commerce Electronique

Campus Universitaire de la Manouba - 2010 La Manouba, Tunisie

Tel. : +216 71602919 ; Fax : +216 71602662

 

 

account holder: Association Culturelle de l’Ecole Supérieure de Commerce Electronique de la Manouba

Bank name : Société Tunisienne de Banque (STB), Agence Oued Ellil (121), Tunisie

 

bank AdDRESS : Rte. de Mateur (Km7), 2021 Oued Ellil (Manouba)

 

International Bank Account Number (IBAN) : 

TN 59 1021 0121 1025 5857 8892

 

Bank Identification Code (BIC) :  

STBKTNTT