REGISTRATION FORM 22nd WORLD CONGRESS OF POETS / U.P.L.I. (LARISSA, GREECE, JUNE 29 – JULY 3, 2011
UPLI Member/Non-Member
Full Name:____________________________________________ M / F (Circle) Member/Spouse/Guest(Circle) Address:________________________________________________________ City:_____________ State______Zip__________ Country: ______________ Phone: ______________________email____________________________ Arrival Flight Time:_____________ Number: ______ Airline:____________ Full Member of WCP ⃞Simple Member of WCP ⃞ Please sign acknowledgement of: having the responsibility for the cost of transportation to Greece (ale ret our), lodging, airline fares/travel documents, i.e. passport, visa, etc. The Organizer is not accountable for any injury or damage involving persons and/or property for the duration of the Congress. All participants are accountable and should make provisions for their own personal safety and belongings.
Date: -----/------/2011
Signature: ___________________________________________ All participants can either register through the website using the online Registration Form or alternatively, they can download the Registration Form, complete it and send it to email info@wcp-greece2011.org. After online registration you will receive (by e-mail) a “Registration Submission” indicating that your registration form has successfully been submitted. Alternative way to register is to send the Registration Form by POSTAL MAIL to the President of 22nd WCP:Dimitris P. Kraniotis, 2 Panagoulis str, Larissa 41222, GREECE. www.wcp-greece2011.org Thank you for wanting to attend the Congress. Please make sure membership information and dues of $25.00 has been remitted to: Benjamin R. Yuzon, President U.P.L.I., 2226Pheasant Drive,Hercules, CA 94547 or Judy Hardin Cheung, Secretary U.P.L.I., 704 Bingham Ave. Santa Rosa, CA USA, 95404. Visit the website www.upli-wcp.org for further information and updates. REGISTRATION: Deadline April 30, 2011.
REGISTRATION FEES:
Full Member of WCP
€200,00 (For all 5 days: Anthology/Tours/Banquet)
Simple Member of WCP
€100,00 (For all 5 days: Anthology, No Tours/No Banquet)
NOTE:Plus € 50,00 late fees after April 30, 2011.
METHOD OF PAYMENT:
Bank Transfer: Checking account with the name: ASA CONSULTING ASA CONGRESSES AN Account number: 883/470043-06 IBAN: GR32 0110 8830 0000 8834 7004 306 Swift code (BIC): ETHNGRAA
Please on the bank remittance do not forget to mention: 1.Theparticipant’s full name. 2. Reason of payment (22nd WCP/UPLI, Greece 2011).
Please note that Registration Form will be accepted only if it is accompanied by proof of payment (copy of bank remittance or bank remittance number) sent by email to the Organizing Secretariat (info@wcp-greece2011.org)or sent by postal mail to:Dimitris P. Kraniotis, 2 Panagoulis str, Larissa 41222, GREECE.