Registration Form

Date of birth: Month Day Year

Sex: male female

Nationality or citizenship:

Mailing Address:

Tel:            Fax:

E-mail:

Job Title:            Organization:

Disability: yes no

Food requirements: Harald Vegetarian

Date of arrival:            Date of departure:

Flight Information for arrival Phuket:            Flight No.:

Flight Information for depart from Phuket:            Flight No.:

Type of rooms:

Superior Room 3,500 baht nett
Deluxe Room 4,500 baht nett
Check in date:            Check out date:

Notes:
- Registration Fees: Free
- Participants should arrange their own traveling between their countries and Thailand
- Participants should assume responsibility for own expenses in traveling and accommodation
- The secretariat shall be responsible for hotel reservation, but participants have to pay accommodation expenses by yourself while checking out at the hotel. 
- There will be the transportation service from the Phuket airport to Millennium Resort Patong, Phuket