Registration Form – European Delegates Only

International Convocation 2012 – "For the Life of the World"
Palacio de Congresos de Madrid, Paseo de la Castellana, 99 (28046 Madrid)
July 10-12, 2012 (Madrid, Spain)

Title *	----Mr.Ms.BishopPriestDeacon
Surname *
First Name *
Middle Initial
Birthdate (mm/dd/yy) *
Nationality *
Passport No.
Address *
Country *
Tel. No. *
Mobile No.
Fax No.
Email *
Church
Ministry
Lodging preference, optional tours, etc.	Hotel  Hostal/Pension  Madrid City Tour  El Escorial and Valle Caidos  Tour of City of Avila  Tour of Segovia  Others
Family Members: Spouse (pls. specify Name, Nationality, Sex, Age)
Child/Children (pls. specify Names, Nationality, Sex, Age)
Medical Information	Taking Medication  Allergy  With discapacity  Assistance needed
Allergic to
Arrival Details (pls. specify Date, Time, Flight No., Airline, Terminal)
Transfer Assistance	needed
Departure Details (pls. specify Date, Time, Flight No., Airline, Terminal)
Other means of transportation, pls specify
Please read Registration Policies at the bottom of this page. *	I hereby certify that I have read the terms and conditions and I agree to fully comply with them.
Preferred down-payment method *	Via Bank Transfer  Via Local Parish
Please type the letters and numbers shown in the image.

Registration Policies

Convocation Fee

For Europe: 100.00 EUR per person; Children aged 7–12 years: 50.00 EUR
Infants: 0–6 years old: FREE

Down Payment:  50.00 EUR / person is required upon submission of this Form.  This fee is deductible to Registration Fee. Down Payment is non refundable in case of cancellation.  However, it can be transferable.

Convocation Fee includes: Convocation pack and handouts

Contact Tel.: +34 914470774 / 615845302 // Email: parish@iccec.e.telefonica.net