FI S A 20 09 R E G I ST R A T I O N FO R M www.capetown2009.com

SECTION A: PERSONAL DETAILS EçåÉ=ÇÉäÉÖ~íÉ=éÉê=ÑçêãF=

DELEGATE=

qáíäÉW= cáêëí=k~ãÉW

i~ëí=k~ãÉW

lêÖ~åáë~íáçåW

mçëáíáçå

mçëí~ä=^ÇÇêÉëëW=

`çìåíêóW mçëíLwfm=ÅçÇÉW

bã~áäW==

qÉäW c~ñW

jçÄáäÉW=

péÉÅá~ä=êÉèìáêÉãÉåíë=EÉKÖK=ÇáÉí~êóI=Çáë~ÄáäáíóFW==

= =

To facilitate hotel check-in, please provide your passport information=

m~ëëéçêí=åìãÄÉêW==

k~íáçå~äáíóW==== = bñéáêó=Ç~íÉW=

=

ACCOMPANYING PERSON

qáíäÉW= cáêëí=k~ãÉW

i~ëí=k~ãÉW =

péÉÅá~ä=êÉèìáêÉãÉåíë=EÉKÖK=ÇáÉí~êóI=Çáë~ÄáäáíóFW==

=

To facilitate hotel check-in, please provide your passport information=

m~ëëéçêí=åìãÄÉêW==

k~íáçå~äáíóW==== = bñéáêó=Ç~íÉW=

=

SECTION B: REGISTRATION Es^q=áåÅäìÇÉÇF=

NK=jÉãÄÉê=`çìåíêó=NëíLOåÇLP

êÇ=aÉäÉÖ~íÉ=

== kç=ÑÉÉ

=

OK=jÉãÄÉê=`çìåíêó=^ÇÇáíáçå~ä=aÉäÉÖ~íÉ== oQTRMKMM

=

PK=cfp^=`çìåÅáä=jÉãÄÉê=

= kç=ÑÉÉ=

QK=lÄëÉêîÉê=

= Ç~óEëF=]=oSRM=éÉê=Ç~óEëF=~ííÉåÇáåÖW=

= = qÜìêë=

= cêá=

= p~í=

= pìå=

RK=lÄëÉêîÉê=`çåÖêÉëë=aáååÉê=

= íáÅâÉíEëF=]=oQTR=É~ÅÜ=

SK=^ÅÅçãé~åóáåÖ=mÉêëçå=

= ]=oNTRM=

qçí~ä=oÉÖáëíê~íáçå=^ãçìåí=

o=

= =

SECTION C: SOCIAL PROGRAMME Eçåäó=áåÅäìÇÉÇ=Ñçê=jÉãÄÉê=`çìåíêó=

aÉäÉÖ~íÉëI=`çìåÅáä=jÉãÄÉêë=~åÇ=^ÅÅçãé~åóáåÖ=mÉêëçåëX=éäÉ~ëÉ=áåÇáÅ~íÉ=áÑ=óçì=ïáää=~ííÉåÇF=

táåÉä~åÇë=bñÅìêëáçå=

aÉäÉÖ~íÉ== ^ÅÅçãé~åóáåÖ=éÉêëçå== =

`çåÖêÉëë=aáååÉê=

aÉäÉÖ~íÉ== ^ÅÅçãé~åóáåÖ=éÉêëçå

== =

=

REGISTRATION OPTIONS AND ENQUIRIES=

oÉÖáëíÉê=~ë=~=ÇÉäÉÖ~íÉ=Äó=ÅçãéäÉíáåÖ=íÜáë=Ñçêã=~åÇ=êÉíìêåáåÖ=áí=Äó=Ñ~ñ=çê=Éã~áäK=

RETURN FORM TO:=cfp^=OMMV=`çåÖêÉëë=pÉÅêÉí~êá~í=^ÑêáÅ~å=^ÖÉåÇ~=qW=HOT=EMFON=SUP=OVPQ=cW=HOT=EMFON=SUP=MUNS=bW=êÉÖáëíÉê]Å~éÉíçïåOMMVKÅçã=

FOR REGISTRATION AND ACCOMMODATION ENQUIRIES:=

a~îáåá~=i~ãÄ==qW=HOT=EMFON=SUP=OVPQ=bW=êÉÖáëíÉê]Å~éÉíçïåOMMVKÅçã=

REGISTRATION INCLUDES=

Member Country 1st or 2nd Delegate Member Country Additional Delegate FISA Council Member=

√=̂ ÅÅÉëë=íç=~ää=cfp^=OMMV=ÅçåÖêÉëë=ëÉëëáçåë=

√=iìåÅÜÉë=~åÇ=êÉÑêÉëÜãÉåíë=çå=~ää=ÅçåÖêÉëë=Ç~óë=

√=̀ çåÖêÉëë=éêçÅÉÉÇáåÖë=~åÇ=ã~íÉêá~äë=

√=táåÉä~åÇë=bñÅìêëáçå=~åÇ=`çåÖêÉëë=aáååÉê=

Observer (e.g. interested persons, non-FISA members)=

√=̂ ÅÅÉëë=íç=cfp^=OMMV=ÅçåÖêÉëë=ëÉëëáçåë=çå=ÅÜçëÉå=Ç~óEëF=

√=iìåÅÜÉë=~åÇ=êÉÑêÉëÜãÉåíë=çå=ÅÜçëÉå=Ç~óEëF=

√=̀ çåÖêÉëë=éêçÅÉÉÇáåÖë=~åÇ=ã~íÉêá~äë=

√=léíáçå=íç=êÉÖáëíÉê=Ñçê=`çåÖêÉëë=aáååÉê=~í=~ÇÇáíáçå~ä=ÑÉÉ=

Accompanying Person (e.g. spouse, partner or child of registered delegate)=

√=̀ ~éÉ=qçïå=çêáÉåí~íáçå=íçìê=

√=oçÄÄÉå=fëä~åÇ=íçìê=

√=táåÉä~åÇë=bñÅìêëáçå=~åÇ=`çåÖêÉëë=aáååÉê=

=

=

SECTION D: ACCOMMODATION=

pÉÉ=ïïïKÅ~éÉíçïåOMMVKÅçãL~ÅÅçããçÇ~íáçåKéÜé=Ñçê=Ñìää=ÜçíÉä=áåÑçêã~íáçåK=

o~íÉë=èìçíÉÇ=~êÉ=éÉê=êççãI=éÉê=åáÖÜíI=áåÅäìÇáåÖ=ÄêÉ~âÑ~ëíI=áåÅäìÇáåÖ=NQB=s^qI=ÉñÅäìÇáåÖ=~=Åçãéìäëçêó=NB=dçîÉêåãÉåí=qçìêáëã=iÉîó=ÇìÉ=ìéçå=ÅÜÉÅâJçìíK=

HOTEL=ROOM

TYPE=ROOM

TYPE

ARRIVAL

DATE

DEPARTURE

DATE

NR OF

NIGHTS

TOTAL

AMOUNT

= oNVVR pçìíÜÉêå=pìå=íÜÉ=`ìääáå~å=

* * * *

páåÖäÉ=açìÄäÉLqïáå=

= oONVS=

o

= oNVVR pçìíÜÉêå=pìå=t~íÉêÑêçåí=`~éÉ=qçïå=

* * * *=

páåÖäÉ=açìÄäÉLqïáå=

= oONVS=

o

= oUUM cçìåí~áåë==eçíÉä=* * *

páåÖäÉ=açìÄäÉLqïáå=

= oVSM= o

= oUUM eçääçï=çå=íÜÉ=pèì~êÉ=

* * *

páåÖäÉ=açìÄäÉLqïáå=

= oVSM=

o

Are you sharing accommodation with another delegate? =

cìää=å~ãÉ=çÑ=ëÜ~êáåÖ=ÇÉäÉÖ~íÉ

SECTION E: TOTAL AMOUNT AND PAYMENT DETAILS E~=í~ñ=áåîçáÅÉL~ÅâåçïäÉÇÖÉãÉåí=çÑ=é~óãÉåí=ïáää=ÄÉ=áëëìÉÇ=ìéçå=êÉÖáëíê~íáçåF

Total Amount (Sections B + D)

pÉÅíáçå=_=qçí~ä=oÉÖáëíê~íáçå=^ãçìåí o

pÉÅíáçå=a=qçí~ä=^ÅÅçããçÇ~íáçå=^ãçìåí o

Total Amount o

m~óãÉåí=ïáää=ÄÉ=ã~ÇÉ=Äó=ÇáêÉÅí=ÇÉéçëáíK=mäÉ~ëÉ=ëÉåÇ=ãÉ=~=í~ñ=áåîçáÅÉ=Ñçê=íÜÉ=qçí~ä=^ãçìåíK

_~åâ=ÇÉí~áäëW=^ÅÅçìåí=å~ãÉW=cfp^=OMMV=_~åâW=cáêëí=k~íáçå~ä=_~åâ======^ÅÅçìåí=åìãÄÉêW=SONVSMPVRQN======_ê~åÅÜ=ÅçÇÉW=OMNRMV

m~óãÉåí=ïáää=ÄÉ=ã~ÇÉ=Äó=ÇáêÉÅí=ÇÉéçëáíK=mäÉ~ëÉ=ëÉåÇ=ãÉ=~=í~ñ=áåîçáÅÉ=Ñçê=íÜÉ=qçí~ä=^ãçìåíK

sáë~ j~ëíÉê`~êÇ ^ãÉêáÅ~å=bñéêÉëë

k~ãÉ=çå=Å~êÇW= `~êÇ=åçW = bñéáêó=a~íÉW==

`~êÇ=ëÉÅìêáíó=ÅçÇÉW==== EP=ÇáÖáíë=çå=Ä~Åâ=çÑ=sáë~=~åÇ=j~ëíÉê`~êÇI=Q=ÇáÖáíë=çå=Ñêçåí=çÑ=^ãÉêáÅ~å=

bñéêÉëëF `~êÇÜçäÇÉê=~ÇÇêÉëëW==

páÖå~íìêÉW

FISA 2009 REGISTRATION TERMS

AND CONDITIONS =

NK=`çãéäÉíÉÇ=êÉÖáëíê~íáçåë=ïáää=ÄÉ=~ÅâåçïäÉÇÖÉÇ=~åÇ=áåîçáÅÉÇ=ïáíÜáå=T=Ç~óëK=

OK=oÉÖáëíê~íáçåë=ïáää=çåäó=ÄÉ=î~äáÇ=çåÅÉ=íçí~ä=~ãçìåí=é~ó~ÄäÉ=áë=êÉÅÉáîÉÇ=~åÇ=ÅäÉ~êÉÇK=

PK=^ää=é~óãÉåíë=ãìëí=ÄÉ=ã~ÇÉ=áå=pçìíÜ=^ÑêáÅ~å=o~åÇ=Ew^oFK=

QK=^ää=Å~åÅÉää~íáçåë=ãìëí=ÄÉ=êÉÅÉáîÉÇ=áå=ïêáíáåÖ=Äó=íÜÉ=cfp^=OMMV=oÉÖáëíê~íáçå=aÉëâK=

J= VMB=êÉÑìåÇ=Ñçê=Å~åÅÉää~íáçåë=ÄÉÑçêÉ==NO=aÉÅÉãÄÉê=OMMU=

J= RMB=êÉÑìåÇ=Ñçê=Å~åÅÉää~íáçåë=ÄÉÑçêÉ==NO=g~åì~êó=OMMV=

J= åç=êÉÑìåÇ=Ñçê=Å~åÅÉää~íáçåë=~ÑíÉê=NO=g~åì~êó=OMMVI=çê=åçJëÜçïë==

RK=oÉÖáëíê~íáçåë=~êÉ=íê~åëÑÉê~ÄäÉ=ÄÉÑçêÉ=íÜÉ=ÉîÉåíI=áÑ=íÜÉ=çêáÖáå~ä=ÇÉäÉÖ~íÉ=Å~ååçí=~ííÉåÇK=qÜÉ=cfp^=OMMV=oÉÖáëíê~íáçå=aÉëâ=ãìëí=ÄÉ=åçíáÑáÉÇ=áå=ïêáíáåÖK=

SK=lÄëÉêîÉê=êÉÖáëíê~íáçåë=ã~ó=åçí=ÄÉ=ëÜ~êÉÇI=áKÉK=Åçãé~åóLçêÖ~åáë~íáçå=å~ãÉ=í~Öë=ïáää=åçí=ÄÉ=áëëìÉÇ=~åÇ=å~ãÉ=í~Öë=ã~ó=åçí=ÄÉ=ëÜ~êÉÇK=

=

FISA 2009 ACCOMMODATION TERMS

AND CONDITIONS=

NK=oÉëÉêî~íáçåë=~êÉ=ã~ÇÉ=çå=ÄÉÜ~äÑ=çÑ=ÇÉäÉÖ~íÉë=Äó=íÜÉ=cfp^=OMMV=oÉÖáëíê~íáçå=aÉëâK=`çãéäÉíÉ=íÜÉ=~ééêçéêá~íÉ=ëÉÅíáçå=çå=íÜÉ=êÉÖáëíê~íáçå=Ñçêã=ëéÉÅáÑóáåÖ=ÜçíÉä=ÅÜçáÅÉI=~êêáî~ä=~åÇ=ÇÉé~êíìêÉ=Ç~íÉëI=~åÇ=~åó=çíÜÉê=ëéÉÅá~ä=êÉèìáêÉãÉåíëK=

OK=oÉëÉêî~íáçåë=~êÉ=ã~ÇÉ=çå=~=?Ñáêëí=ÅçãÉI=Ñáêëí=ëÉêîÉÇ?=Ä~ëáëK=qÜÉ=éìÄäáëÜÉÇ=êççã=ê~íÉë=~åÇ=~î~áä~Äáäáíó=~êÉ=î~äáÇ=ìåíáä=NO=aÉÅÉãÄÉê=OMMUK=qÜÉêÉ~ÑíÉêI=ê~íÉë=~åÇ=~î~áä~Äáäáíó=~êÉ=åçí=Öì~ê~åíÉÉÇ=~åÇ=~åó=ä~íÉ=êÉëÉêî~íáçå=êÉèìÉëíë=ïáää=ÄÉ=~ÅÅçããçÇ~íÉÇ=~ÅÅçêÇáåÖ=íç=ÅìêêÉåí=ê~íÉë=~åÇ=~î~áä~ÄáäáíóK=

PK=cìää=é~óãÉåí=áå=~Çî~åÅÉ=áë=êÉèìáêÉÇ=íç=ÅçåÑáêã=íÜÉ=êÉëÉêî~íáçåK=vçìê=ÅêÉÇáí=Å~êÇ=ãìëí=ÄÉ=î~äáÇ=íÜêçìÖÜ=íÜÉ=ÉåÇ=çÑ=óçìê=ëí~ó=çê=íÜÉ=êÉëÉêî~íáçå=ïáää=åçí=ÄÉ=Öì~ê~åíÉÉÇK=

QK=m~óãÉåíë=~ééäó=çåäó=íç=íÜÉ=çêáÖáå~ä=êÉëÉêî~íáçå=~åÇ=~êÉ=åçí=íê~åëÑÉê~ÄäÉK=

RK=få=íÜÉ=Å~ëÉ=çÑ=Å~åÅÉää~íáçåI=íÜÉ=ÑçääçïáåÖ=éÉå~äíáÉë=~ééäóW=

JJ=`~åÅÉää~íáçåë=ÄÉÑçêÉ=NO=aÉÅÉãÄÉê=OMMU=ïáää=ÄÉ=ÅÜ~êÖÉÇ=çåÉ=åáÖÜíDë=í~êáÑÑ=

JJ=`~åÅÉää~íáçåë=SMJPM=Ç~óë=ÄÉÑçêÉ=~êêáî~ä=Ç~íÉ=ïáää=ÄÉ=ÅÜ~êÖÉÇ=~=RMB=éÉå~äíó=

JJ=`~åÅÉää~íáçåë=ïáíÜáå=PM=Ç~óë=çÑ=~êêáî~ä=Ç~íÉ=~åÇ=åçJëÜçïë=ïáää=ÄÉ=ÅÜ~êÖÉÇ=~=NMMB=éÉå~äíó=

JJ=pÜçìäÇ=óçì=Ñ~áä=íç=~êêáîÉ=~ë=ëÅÜÉÇìäÉÇI=íÜÉ=ÜçíÉä=ïáää=ÅÜ~êÖÉ=óçì=Ñçê=íÜÉ=äçëë=çÑ=êÉîÉåìÉ=Ñçê=íÜÉ=åáÖÜí=çê=åáÖÜíë=áå=èìÉëíáçåK=

SK=^åó=Éñíê~ë=ãìëí=ÄÉ=ëÉííäÉÇ=áå=pçìíÜ=^ÑêáÅ~å=o~åÇ=Ew^oF=ìéçå=ÅÜÉÅâJçìíK==