ASOSAI

(Please, complete one form for each delegate)

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Participating Event
Participating Event

Organization information

Organization information
Country
Organization name
Organization address

Participant information

Participant information
Title(Mr/Ms)
First Name
Middle Name		Last Name
Job title
Telephone number		Fax number
E-mail address
Picture

Flight information

Flight information
	Date	Time	Flight Number	Airline
Arival		:
Departure		:

Accommodation information

Name of the Hotel
Check-in Date		Check-out Date
Smoking	Y N	Early/late Check-in & out

If you have any special needs or requests such as the accompanying person or dietary specialties, please indicate here: