Registration Form

Association pour le Devéloppement Durable (ADD)
ENGAGING STAKEHOLDERS IN CLIMATE CHANGE ISSUES
(Municipality of Port Louis, Mauritius, 5 to 8 October 2015)


1. Participant Information

Family name:_________________________________________________________________

Title:    Prof.  Dr.  Mr. Ms.  Mrs. other:__________________________ (please circle appropriate title)

First name:___________________________________________________________________

Organisation:_________________________________________________________________

Address:_____________________________________________________________________

Address:_____________________________________________________________________

Postal code:________________________ City:______________________________________

Country:_____________________________________________________________________

Telephone:___________________________________________________________________

Fax:_____________________________ E-mail:_____________________________________

Contribution: Extended abstract, Full paper, Oral, Poster, None,  Other (Specify) -----------------------------------------

2. Conference Fee



International

Mauritius

Until 15 August 2015

$ 200

MUR 2 000

16 August to 05 September 2015

$ 300

MUR 3 000

After 05 September 2015

$ 400



Please note that contributions will only be published in the ADD NW'15 Abstracts & Proceedings CD

(with an ISBN number) if at least one of the authors of the paper is registered before 10 September 2015.

3. Payment

Registration forms must be accompanied by full payment in order to be processed.

Payments must be made to:

Bank: State Commercial Bank (Mauritius)

Account Number: 62010100100142

IBAN: MU56STCB1180010100100142000MUR