Please complete and return to:payment.tunirock@gmail.

com

(to be used by Tunisian delegates only)

PERSONAL DETIALS

Title:………………First name………………………......Other initials………………Last/Family name………..……………………

Company………………………………………………………………………VAT Regitration Number…………………………………
Invoice Address…………………………………………………………………………………………………………………………….....
………………………………………………………..Code………………………………….Country………………………………………
Tel/Cell…………………………………………….Fax………………………………………..Email……………………………………….

REGISTRATION FEES PAYMENT: Please include payment itemized as follows:

Conference registration fees ……………….DT

Regular 600 DT □ Accompanying person ……………….DT
ISRM Delegates 480 DT □ ONE day attendance (day………………) ……………….DT
Students 350 DT □ Course on Fractured Rock Masses ……………….DT
Accompanying person 300 DT □ Course on Rock Slope Stability ……………….DT
Roman Amphitheater visit ……………….DT
Delegates may attend ONE DAY only: 300 DT Carthage site visit ……………….DT
Please indicate: Aquatic Friguia Park visit ……………….DT
29 March 2018 □ Gala Dinner ……………….DT
30 March 2018 □
31 March 2018 □ TOTAL ………………DT

Registration fees include attendance at technical sessions, Full payment is to be done by bank transfer.
all coffee breaks, refreshments and lunches, proceedings
(paper and USB) and delegate material. Bank details:
Ass TunMecanique des Roches
Bank: BIAT Branch: BIAT Campus (A2)
COURSES/WORKSHOPS RIB: 08110010022003745729 SWIFT: BIATTNTT
IBAN: TN5908110010022003745729
Fractured Rock Masses 200 DT □
Rock Slope Stability 200 DT □ Full payment is due on application for registration. Registration
will be confirmed ONLY after payment is received. PROOF OF
SOCIAL PROGRAM PAYMENTmust be sent to
payment.tunirock@gmail.com.Delegates who have not paid
Roman Amphitheater 80 DT□ will not be permitted to attend the conference.
Carthage site 80 DT□
Aquatic Friguia Park 80 DT□ Date…………………..Please print name:…………………………
Gala Dinner 100 DT □
Signature:

Cancellation and transfer policy: Delegates unable to attend the event may send a substitute delegate in their place. Please
send written details of substitution. Written cancellation must be received more than 10 working days prior to the date of the
event and will be liable for 50% of the event fee. Failure to cancel, or cancellation received 10 working days of less prior to the
event date, will result in liability for the full event fee.

For any question, please contact: payment.tunirock@gmail.com