Registration Form 9th Helen Keller Conference and 3rd WFDB General Assembly, Uganda Oct 22-27 2009. Hosted by World Federation of the Deafblind WFDB and National Association of Deafblind Uganda NADBU Please fill out one form for each person participating and one for each for interpreter/ assistant Family Name First Name(s) Organisation Address /P.O. BOX number Street Post Code (State) City Country Telephone Cell phone I can receive txt messages Email I am A. a deafblind person B. an assistant/ interpreter/ family member Registration before May 15th 200 Euro per person Registration May 16th tto July 31 250 Euro per person Includes Conference pack, conference material Lunches, breaks, water, 23-27 Oct. Reception 22 Oct C. I am not a deafblind person or assistant/ Interpreter/ family member Registration before May 15th 250 Euro per person Registration May 16th to July 31 300 Euro per person Includes Conference pack, conference material Lunches, breaks, water, 23-27 Oct. Reception Day guest HKWC please tick appropriate day 23 Oct 50 USD incl coffe/tea/lunch 24 Oct 50 USD incl coffee/tea/lunch 25 Oct 50 USD incl coffe/tea/lunch Day guests WFDB General Assembly Please tick appropriate day 26 Oct 50 USD incl coffe/tea/ lunch 27 Oct 50 USD incl coffe/tea/ lunch I have the following food requirements Vegetarian Diabetes Other, please describe Accessibility please tick appropriate I am using a wheelchair I am using a loop My sign language interpreter needs to be seated in a well lit I use technology that needs electricity in conference room Documentation I want material in English Print I want material in English Braille grade 1 I want material by email Hotel reservations info on www.wfdb.org in March 2009 Registration fees Early registration before May 15th 2009 Deafblind participant 200 Euros per person Interpreter/ assistant/family member 200 Euros per person All others 250 Euros per person Day Guests 50 USD per day. Late registration 15 May 2009 to July 30th Deafblind participant 250 Euros per person Interpreter/ assistant/ family member 250 Euros per person All others 300 Euros per person Day Guests 50 USD per day Registration fee includes Conference material Conference pack Admission to all sessions Welcome reception Thursday the 22 October Lunch ,Coffee breaks and 2 bottles of mineral water per person per day 23-27 October Payments Registrations will have to be accompanied by proof of payment in order to be processed: email copy of the bank transfer (please note that bank charges will have to be cleared by the participant) to hkwc09@gmail.com or fax to WFDB + 45 98 192057 All payments will have to be made in Euro , participants from Europe can use SEPA payments payable to: Bank Noerresundby BankUdlandsafdeling vTorvet 9400 Noerresundby Account holder World Federation of the Deafblind Snehvidevej 13DK-9400 Noerresundby , Denmark Account number 7440-0009630600 IBAN number : DK2474400009630600 BIC (SWIFT)code: NRSBDK24 Confirmation and invoicing Upon receipt of the full registration fee, each participant will receive confirmation of his/her registration and the invoice by e-mail and by surface mail to the address indicated on the form.  Cancellation and refunds of registration fee Cancellations must be notified in writing to the Conference Secretariat; refunds will be made under the following conditions: Cancellation before August 1 2009: refund of registration fee minus 10% handling fee Cancellation before September 1 2009 50 % refund Cancellation after September 1 2009 no refund Change of name of participant will be permitted until September 1 and will not be considered cancellation All refunds will be handled after the Meeting.