Conference Registration Form
The Caribbean Area Network for Quality Assurance in Tertiary Education
6th Annual Conference: “Balancing Quality and Quantity: The Global Challenge for Tertiary
Education”
Lloyd Erskine Sandiford Centre, Two Mile Hill, St. Michael, October 6 – 8, 2009
1. PARTICIPANT INFORMATION
Title:
Prof.
Dr.
Mr.
Mrs.
Ms.
First Name *:
Last Name *:
Organization:
E-mail *:
Mailing Address:
Country*:
ALBANIA
ALGERIA
AMERICA SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
AZORES ISLANDS
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE
BOSNIA-HERZEGOVINA
BOTSWANA
BOUVERT ISLAND
BRAZIL
BRITISH INDIAN OCEAN
BRITISH VIRGIN ISLANDS
BRUEI DARUSSALAM
BRUNEI
BULGARIA
BURKINA FASO
BURMA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE ISLANDS
CAYMAN ISLANDS
CENTRAL AFRICA REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING)
COLOMBIA
COMOROS
CONGO
COOK ISLANDS
COSTA RICA
CROATIA
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
CZECHOSLOVAKIA
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISL.(MALVIN
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRANCE (EUROPE ONLY)
FRENCH GUIANA
FRENCH SOUTHERN TERR
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREAT BRITIAN (U.K)
GREECE
GREENLAND
GRENADA
GUADELOUPE (FR.)
GUAM (U.S)
GUATEMALA
GUERNSEY
GUIANA (FR.)
GUINEA
GUINEA BISSAU
GUYANA
HAITI
HEARD & MCDONALD IS
HOLLAND
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA (NORTH)
KOREA (SOUTH)
KUWAIT
KYRGYZ STAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA (YUGOS.)
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALTA
MARTINIQUE (FR.)
MARURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA
MONACA
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLAND ANTILLES
NEW CALEDONIA (FR.)
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORTHFOLK ISLANDS
NORWAY
NOTHERN MARIANA IS.
OMAN
PAKISTAN
PALAU
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN ISLANDS
POLAND
POLYNESIA (FR.)
PORTUGAL
PUERTO RICO
QATAR
REUNION (FR.)
ROMANIA
RUSSIA
RUSSIAN FEDERATION
RWANDA
SABA
SAMOA
SAN MARINO
SAO. TOME AND PRINCIPE
SAUDI ARABIA
SCOTLAND
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA/SLOVVAK REP
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA
SOVIET UNION
SPAIN
SRI LANKA
ST. HELENA
ST. KITTS/NEVIS
ST. LUCIA
ST. MAARTEN
ST. MARTIN
ST. PIERRE & MIQUELON
ST. VINCENT & GREN.
ST.CHRISTOPHER/NEVIS
SUDAN
SURINAME
SVALBARD JAN MAYEN I
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANISIAN
TANZANIA
THAILAND
TOGO
TOKELAU
TONGA
TORTOLA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS & CAICOS IS.
U.S MINOR OUTLYING IS
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE
VENEZUELA
VIETNAM
VIRGIN ISLANDS (U.S)
VIRGIN ISLANDS (UK)
WALLIS & FUTUNA IS.
WESTERN SAHARA
YEMEN
YUGOSLAVIA.
ZAIRE
ZAMBIA
ZIMBABWE
Telephone:
Fax:
2. REGISTRATION FEES
Pre-Conference Workshop (Oct. 6)
Yes
No
Member Rates (Conference: Oct. 7 -8)
Yes
No
Non-Member Rates (Conference: Oct. 7 -8)
Yes
No
3. MEMBERSHIP FEES
Individual: US$50 Associate: US$75 Full: US$100
New members are required to complete a membership registration form (available at
www.canqate.org ). Existing members are asked to indicate the years for which they will be making
payment. Please contact Tricia Douglas (tmdouglas@cwjamaica.com ) to confirm your membership
status.
Name of Conferee:
Membership Fee:
Period(s):
5. PAYMENT METHOD *
BANK DRAFT
CHEQUE
MONEY ORDER
WIRE TRANSFER
Make payable to Barbados Accreditation Council
Make payable to Barbados Accreditation Council
Make payable to Barbados Accreditation Council
Wire Transfer Info : Conference Bank Name: Barbados National Bank, No. 1 Broad Street, St. Michael,
Barbados; Bank Account Name: BARBADOS ACCREDITATION COUNCIL ACCOUNT; Bank Acct#:
0002281007; Sort/Swift Code: BNB ABBBB. (Please be sure to include CANQATE 2009 and the conferee’s name on the wire transfer.) Please fax a copy of the funds transfer document to 246-429-
9233.
Known allergies :
Medical conditions:
Medications taken:
Contact persons in case of emergency (please include Full Name & Telephone #):
6. HOTEL INFORMATION
7. AIRPORT TRANSFERS/TRANSPORTATION
Yes
No
Roundtrip airport transfers are not included in hotel reservation costs. This payment is NOT to be
included in credit card payment to hotel. Cost for roundtrip airport transfer is US$40.00 per person
from the Grantley Adams International Airport. Payment must be made directly to the Barbados
Accreditation Council, in advance, along with the Registration fee. After clearing customs proceed to
the exit where you will be met by liaison officers.
Please provide your flight information, including the expected date and time of arrival:
Airline and flight number:
Date of Arrival:
Time of Arrival:
(HH:MM 24 hours)
8. ADDITIONAL INSTRUCTIONS
Please register once per person. If you should have problems registering, please contact the
Conference Secretariat at the Barbados Accreditation Council or via email
canqateconf2009@bac.gov.bb
Payment Information : Registration must be accompanied by full payment in order to be
processed. Incorrect credit card numbers and declined credit are considered non payments and
registration will not take place. No registrations will be accepted by telephone.
Refund policy : The Conference Secretariat should be notified of cancellations in writing. If the
Conference Secretariat receives cancellations before July 31, 2009, the total conference fee will be
refunded, less US$50 administration costs. After July 31, 2009 no refunds will be made. Please note
that refunds will only be made after the conference. “No shows” are non-refundable and are liable
for the full registration. If you cannot attend, you may send a substitute person. The original registrant
must submit a written authorization for such a change.
Confirmation : Please allow up to 10 days for e-mailed confirmation of your registration or check
your conference account update.
By submitting this information, I acknowledge that I commit myself to the immediate payment of
the full conference fee. I have taken notice of the cancellation terms on this form.
BARBADOS ACCREDITATION COUNCIL
#123 A&B, “Plaza Centrale”, Roebuck Street, St. Michael BB11080, BARBADOS
Fax: (246) 429-9233• Phone: (246) 436-9094
Contact Persons:
Ms. Valda Alleyne (Executive Director) at vv-alleyne@bac.gov.bb
OR
Mrs. Mary Bruce (Administrative Officer 1) at me-bruce@bac.gov.bb
Email: canqateconf2009@bac.gov.bb