Seminar Registration

Participant Information
Salutation First Name: Title:	Last Name: Organization:
Street Address:	City & Postal Code:	Country:
Email Address:	Telephone Number:	Fax Number:

Costs
Corporate / OECD Government Officials Rate: €300 Non-Profit / Student Rate: €150 Developing Country Government Officials: No Charge *A late registration fee of €25 will be added to those who do not register by May 14.

Payment Information
Please indicate how you will make payment by checking the appropriate circle. Check: Please make checks payable to International Policy Council and mail to: IPC c/o PRM Ltd. Rue Berckmans 10 1060 Brussels Belgium
Wire Transfer: Please send wire transfers to the following. Account: n° 310-1522546-23 (or in international format/IBAN: BE92 3101 5225 4623) BIC/Swift: BBRUBEBB ING Bank European Parliament Branch Rue Wiertz 60, Brussels
Credit Card: The IPC accepts Visa and Mastercard only. To pay by credit card, please fill out the IPC credit card form and fax it to the IPC's Brussels Office: +32 2 534 9882. Click here for the form.
Other*:
*For questions, please contact Michel Baumgartner at the IPC's Brussels office at ipcbrussels@prmltd.com or +32 2 5349036.