Registration Form

Please answer ALL questions.  

Name:               

Affiliation:        
Title:   MR.  MRS.  MS.  DR.  Prof.  Other: 


  


Address:             

City, State, Zip:    

Telephone No. :      

Fax No. :            

E-Mail:

Your travel plans:

Arrive Beirut on :  Flight# 
Leave Beirut on :  Flight# 

Would you like to:
(Check all that apply.)

Request Hotel Reservations
(Check one)		 Single room in a 3 stars hotel for $42 per night

Double room in a 3 stars hotel for $48 per night

Single room in a 5 stars hotel for $75 per night

Double room in a 5 stars hotel for $85 per night

Share a double room in a 5 stars hotel for $43 per night
   (Only if we are able to find someone willing to share a room)

No
Request Letter of Invitation 
Excursion and Dinner
(for $75 to be paid by cash only)


Further Comments:

or