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Welcome to the IATBR2009 Participant Survey. We are collecting this information to help us in our conference planning and logistics coordination process, and to make sure that we provide you a comfortable and enjoyable experience at IATBR2009. Please complete all information as accurately and thoroughly as possible. Thank you for your cooperation.
Contact Information
*
First Name
:
*
Last Name
:
*
Address 1
:
Address 2
:
*
City
:
*
State
:
*
Zip
:
*
Phone
:
*
Email Address
:
Please provide all details of your arrival into JAIPUR. If you will be coming to your Hotel in Jaipur on your own (say, because you participated in a pre-conference sightseeing tour and the tour operator will bring you to your hotel), then you can leave these fields blank.
Note: If you do not have a cell/mobile number that will work in India, please enter NA (not available) in the last field.
Departure City (i.e., city in India from which you will fly to Jaipur)
:
No. of People in Your Party (include yourself)
:
Airline Name
:
Flight Number
:
Arrival Date (mm/dd)
:
Arrival Time (hh:mm)
:
Cell/Mobile No
:
Do you need ground transportation to your hotel? (Yes/No)
:
Please provide all details of your Departure from JAIPUR after the conference. If you will NOT be flying out of Jaipur (say, because you are participating in a post-conference sightseeing tour), then you can leave all of these fields blank.
Destination City (in India)
:
No. of People in Your Party (include yourself)
:
Airline Name
:
:
Flight Number
:
Departure Date (mm/dd)
:
Departure Time (hh:mm)
:
Do you need ground transportation from hotel to airport? (Yes/No)
:
Please indicate Yes or No to the following questions. If you are a special invitee for whom the conference organizers are making accommodation arrangements and have completely waived all fees (including membership dues), then please check N/A where appropriate.
Yes
No
N/A
*
Have you submitted a hotel accommodation form to the conference management company (CIM)?
*
Have you received a confirmation (code) from the conference management company for your hotel accommodation? (If you have not yet submitted a hotel request form, please select N/A)
*
Have you paid your conference registration fee (or membership dues only if invited author or workshop chair)? (Special Invitees: Please indicate N/A)
Have you paid registration fees for accompanying persons?
At which hotel will you be staying?
Le Meridien (conference main venue hotel)
Gold Palace
Apex Intercontinental
KK Royal Days
Other (please specify)
Please indicate your hotel check-in and check-out dates.
*
Check-in date (mm/dd)
-- Select --
Dec 1
Dec 2
Dec 3
Dec 4
Dec 5
Dec 6
Dec 7
Dec 8
Dec 9
Dec 10
Dec 11
Dec 12
Dec 13
Dec 14
Dec 15
Dec 16
Dec 17
Dec 18
Dec 19
Dec 20
Dec 21
Dec 22
Dec 23
Dec 24
Dec 25
Dec 26
Dec 27
Dec 28
Dec 29
Dec 30
Dec 31
Other
*
Check-out date (mm/dd)
-- Select --
Dec 1
Dec 2
Dec 3
Dec 4
Dec 5
Dec 6
Dec 7
Dec 8
Dec 9
Dec 10
Dec 11
Dec 12
Dec 13
Dec 14
Dec 15
Dec 16
Dec 17
Dec 18
Dec 19
Dec 20
Dec 21
Dec 22
Dec 23
Dec 24
Dec 25
Dec 26
Dec 27
Dec 28
Dec 29
Dec 30
Dec 31
Other
Please select the hotel room type in which you plan to stay:
Single
Double
Other
How many people in your group will come to the following events (please include yourself in the count)? If you and nobody in your group will attend at all, please enter zero.
Number
Opening Reception on December 13 (Sun) evening
Shopping and Dining Trip/Tour on Dec 16 (Wed) afternoon/evening
Banquet Dinner on Dec 17 (Thur) evening
Sightseeing Tour on Dec 18 (Fri) afternoon/evening
What is the method of payment used for paying registration fees (or membership dues only in the case of invited authors and workshop chairs)?
PayPal through Conference Website (http://iatbr2009.org)
Google Checkout through IATBR Website (http://iatbr.org)
Wire Transfer
Paper Check in the Mail
Special Invitee: Not Applicable
Other (please specify)
Please contact
[email protected]
if you have any questions regarding this survey.
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