9TH PASCAL INTERNATIONAL OBSERVATORY CONFERENCE

“Engaged Universities and Learning Cities-Regions”: 1-3

December 2010, University of Botswana, Gaborone. Botswana

CONFERENCE REGISTRATION AND BOOKING FORM

Please complete and return by e-mail, regular mail or fax (details and address below). Please
note that registrations not accompanied by payment will not be honoured (the rate payable
is the rate at date of received payment not the date of mailing).
(Please note that the name and title you give here will be printed on your badge and on the
participants’ list).

1. Participant's information

Family name:_________________________________________________________

Title:_______  Prof.  Dr.  other:  Mr.  Ms.  Mrs.

First name:___________________________________________________________

Organisation:__________________________________________________________

Address:______________________________________________________________

Postal/Zip code:________________________ City:_________________________________

Country:______________________________________________________________

Telephone:____________________________________________________________

Fax:_____________________________

E-mail:___________________________

Special dietary requirements: - for lunches and reception:

non-vegetarian/vegetarian/other (please circle appropriate category)

2. Conference Fee

Conference fees include admission to conference sessions, tea/coffee, lunches, registration

materials and reception
Accommodation is NOT included and must be arranged personally by participants.
A list of suitable accommodations is included on the Conference Flyer and
participants arranging accommodation should indicate to the hotel that they are
attending the Conference.

'EARLY BIRD' 'Africa' rate - 'Africa' rate - non- All other domiciles
by October 30 Student*+ student+
25 Euro 75 Euro 300 Euro (GBP 250)
Standard 'Africa' rate - 'Africa' rate - non- All other domiciles
Registration (from Student*+ student+
November 1)
50 Euro 100 Euro 350 Euro (GBP 300)

*Please include a copy of your valid student card if requesting a student rate.
+Please note that only participants with a permanent home and work/study address in Africa
qualify for this rate.

3. Payment

Registration for the Conference can only be made if accompanied by advance

payment. The rate charged will be that at date of payment.

A. For participants domiciled in Africa: payment should be made to the University of

Botswana:

All cash and cheque payments into this account should therefore be made at the UB cash
office into account WS61-5402. All payment from outside the country should be paid by
telegraphic transfer(TT) into the UB bank account:

Account name: University of Botswana

Bank name: Standard Chartered Bank
Bank postal address: P.O. BOX 1529, Gaborone, Botswana
Account number: 0100110109600
Branch name: Mall Branch
Branch code: 662167
SWIFT code: SCHBBWGX
Contact person: Davies Tele, University of Botswana
Tel: 002673554071
Fax: 002673959390
Reference: WS 61
Please add your last name to the reference field
B. For participants domiciled in Europe, the Americas, Asia and Australasia: payment should
be made in Sterling (GBP) by one of the following methods only:

- by cheque (made out to the 'University of Glasgow'), by mail to

PASCAL International Observatory,

Room 614,
St. Andrews Building,
University of Glasgow,
11, Eldon St.,
GLASGOW G3 6NH
(0044)(0)141 330 1833
Fax(0044)(0)141 330 1821
pascaladmin@glasgow.ac.uk

- by credit or debit card, by mail, fax or e-mail (complete the details below and
send to the appropriate form of address above)

Credit Card/ Debit Card (please circle the appropriate method)

Card Number

Start date Expiry date Security Number Issue Number (where appropriate)

4. Additional Information and Confirmation

Payment Information: Registration forms must be accompanied by full payment in order

to be processed.
Confirmation: Please allow 7 days for e-mailed confirmation of your registration.
____________________________________________________________________________
By sending in this registration form, I acknowledge that I commit myself to the
immediate payment of the full conference fee.

Date: _________/________/2010

Signature:_______________________________________