Conference Registration

PAYMENT SUMMARY & Information

TOTAL PAYMENT: US$0

1. PARTICIPANT INFORMATION

First Name: Last Name :

Organization:

E-mail :

Mailing Address:

2. REGISTRATION FEES

Pre-Conference Workshop (Oct. 6):

5. PAYMENT METHOD:

Known allergies :

Medical conditions:

Medications taken:

Contact persons in case of emergency:

6. AIRPORT TRANSFERS/TRANSPORTATION:

Airline and flight number:
Date of Arrival:
Time of Arrival:

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.