Brain workshop Registration form (pdf)
LEARNING AND THE BRAIN
Workshop Registration Form
Register for the Learning and the Brain Workshop, Monday, September 20 through Wednesday September 22, 2010, Sekolah Bogor Raya, Indonesia
Registration fee: IDR3,950,000 or US$ 425.00 until 1 August, IDR4,650,000 or $500 thereafter. Please transfer the workshop fee to BCA cabang Puri Begawan – Bogor, a/c 573-503-4500 (a/n Sekolah Bogor Raya), and fill in this form. Fax this form to Sekolah Bogor Raya (0251-8381222) along with your transfer receipt.
Name: ………………………………………………………………………………………………………………………..
School, Institution:………………………………………………………………………………………………..
Address:……………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………….
City ZIP Country:………………………………………………………………………………………………………….
Telephone (………………) ……………………………………… Fax (……………..)…………………….
Email:………………………………………………………………………………………………………………………….
Arriving by air? We will attempt to meet visitors arriving by air at the airport and transport you to your hotels in Bogor. Please send us your flight number and arrival time.
Accommodation required? (note: school buses will pick up and deliver workshop participants between SBR and these two hotels)
___ Novotel (Rp845,000/night),
___ Hotel Santika (Rp579,500/night),
Participants arriving by air and requesting transfer to Bogor hotels, and /or requiring accommodation should contact Ibu Dwi / Ibu Miko at 0251-8378873.
