First Name*

Last Name*

Gender*

male

female

other

Separator

Airport*

Separator

Address 1*

Address 2

Postcode / Zip*

Town / City*

Country*

Separator

International phone number*

Email*

Separator

IACAC Status*

Active

Honorary

Retired

Guest

Religious denomination*

Dietary requirements

Separator

Booking

Choose an option for participation*

Conference Fee and Accommodation: Single Room USD 885*

Conference Fee and Accommodation: Twin Share USD 1285*

Conference Day Rate (for 3 days) USD 380

* if you make your payment before July 1st, you pay the reduced rate of USD 820 (USD 1220 for Twin Share)

If you chose a double room, with whom will you share?

I am Interested in attending a three day Post Conference Tour and wish to be contacted to discuss tour options.*

Yes

Separator

Emergency Contact

Emergency contact name*

Relationship*

Phone day (full international number)*

Phone night (full international number)*

Address 1*

Address 2

Postcode / Zip*

Town / City*

Country*

Phone this number in a medical emergency*

Separator

Authorisation

I authorise any doctor or hospital to administer treatment as deemed necessary due to illness or accident. I accept all responsibility for any treatment and corresponding charges that may occur during my stay. I do not hold liable any person(s) or group(s) for any illness, accident or inconvenience that may occur during my visit. I understand I should arrange my own travel insurance, which covers medical evacuation if necessary.*

I have read and understood the above authorization and agree to it.

Separator

I understand it is my responsibility to ensure I have the appropriate visa for entry to the UK for the conference.*

I understand

Separator

I understand that I have to pay any bank charges and transfer fees that arise from paying the conference fee.*

I understand

Separator

I understand that photographs may be taken throughout the conference.*

I understand

Separator11

I agree to my personal data being stored in order to process the conference registration.*

I agree

Conference 2022 On-site Registration

Registration for the 2022 IACAC Conference and Post-Conference-Tour in London UK

Booking

Emergency Contact

Authorisation