The 6th International Conference on Pulses, Oilseeds and Spices

November 16-17, 2016 Intercontinental Addis Hotel, Addis Ababa, Ethiopia

REGISTRATION FORM

All fields marked with * are required fields
A. GENERAL INFORMATION

(Very important for conference Correspondence)

Will you require visa arrangement on arrival?


B. CONFERENCE REGISTRATION (Please tick the applicable) *

LOCAL PARTICIPANT

EPOSPEA Members: ETB 5,000
On site Registration for EPOSPEA Members: ETB 5,500
Non-Members: ETB 7,500
On Site Registration for Non-Members: ETB 8,000
INTERNATIONAL PARTICIPANT

Full Registration: $500
On Site Registration for International Participants: $550

Total Amount Payable to EPOSPEA: *



C. PAYMENT TERMS & OPTIONS (Tick one) *


Wire Transfer (Bank charges will be covered by Sender):
1) Beneficiary Name: Ethiopian Pulses, Oilseeds & Spices Processors Exporters Association (For USD)
Account Number: 1131816050760016
Bank Name: United Bank S. c.
Bank Brach: Misrak Branch
Swift Code: UNTDETAA
Addis Ababa, Ethiopia
Intermediary bank: City bank Na, New York
A/c No. 3624 5456
SWIFT: CITIUS33

-----------------------------OR--------------------------

2) Beneficiary Name: Ethiopian Pulses, Oilseeds & Spices Processors Exporters Association (For EURO)
Account Number: 1131816050760016
Bank Name: United Bank S. c.
Bank Brach: Misrak Branch
Swift Code: UNTDETAA
Addis Ababa, Ethiopia
Intermediary bank: COMMERZ BANK AG
,FRANKFURT
A/c No. 400 8700 262
SWIFT: COBADEFF

Bank Cheque (Applicable to local participants only)
In favor of Ethiopian Pulses, Oilseeds and Spices Processors Exporters Association (EPOSPEA), P.O. Box 8686, Addis Ababa, Ethiopia



D. CANCELLATION TERMS

Cancellation before October 25, 2016 will be eligible for refund of the total amount paid minus US$100 for Administrative Fee; No refund will be remitted after October 25, 2016. Cancellation can only be made by writing officially to EPOSPEA

Address: Ethiopian Pulses, Oilseeds and Spices Processors and Exporters Association (EPOSPEA)

Tel: +251 11 662 35 45

Fax: +251 11 662 35 04

Mob: +251 914 70 33 34

E-mail: epospea@gmail.com, epospeared@gmail.com

Website: www.epospeaeth.org

Office address; Haile Gebereslassie Avenue, 22 mazoria
Rebecca building next to Axum Hotel
7th floor room # 703

Note: E-mail, Fax or bring physically the completed form to conference correspondence before the deadline October 30, 2016.