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* Sex: Male Female
* Title:
* First name:
* Last name:
* Organization:
* Address:
* State/Province
* Postal code:
* Country:
* Email:
* Phone:
Fax:
2. Registration fees
Early bird rate (by 10 October 2008) 400 US$
Regular rate (after 10 October 2008) 500 US$
3. At-scene conferences (on 9 December 2008)
Water Resource Management (max. 60 persons)
Urban Development (max. 60 persons)
Full
Industrial Development (max. 60 persons)
Agricultural Development (max. 60 persons)
Informal Worker Sector (max. 60 persons)
* At-scene conference fee has been included in registration fee, booking for at-scene conference will be accepted on a first come, first served basis until the maximum allowable number of participants is reached.
4. Pre-conference training cost fees
Course I: The Principle and Practice of Health Impact Assessment:Screening Procedures and Tools 285 US$ / 2-day course Full
Course II: Linking HIA to the work of the local government in the Asia Pacific region 285 US$ / 2-day course Full
5. Payment information
Registration fee
0 US$
Pre-conference training course fee
0 US$
Total amount
0 US$
Method of Payment
Credit card
Banking transfer
Bank name: Kasikorn Bank,Tiwanon 8 branch Bank address: Tiwanon 8, Muang, Nonthaburi, 11000 THAILAND Swift code: TFB STHBK (for international transfer) Account name: Ms. Patchara Wongsakul (น.ส.พัชรา วงศ์สกุล) Account number: 465-2-22396-1
* กรณีชำระเงินเป็นเงินบาท: ใช้อัตราแลกเปลี่ยนของธนาคารพานิชย์ ณ วันที่ทำการโอน
* If you prefer to pay in THB, an exchange rate as of transferring date will be used.
