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Registration Form (Delegate)

*** - Mandatory Field

Salutation ***

Mr.

Mrs.

Miss.

Others

First Name ***

Second Name ***

Job Title

Organization

Mailing Address ***

City

State/Province

Post Code

Country

Telephone ***

Fax

Email ***

Website

Category ***

	Tourism sector: destination / operator / airline
	Tourism associations
	Educators: Student / Researcher/ Teacher
	Asset owners
	NGOs
	Government Officials
	Corporate
	Media / Writer
	Others (Specify below)

Remarks

Payment Methods:

Registration Fee

See Below

Name of Account

Basecamp Explorer Kenya Ltd
PO Box 43369
Nairobi, Kenya

Bank Details

Barclays Bank of Kenya - Hurlingham Branch
PO Box 34974
Nairobi, Kenya

Account

USD 7198958

Swift Code

BARCKEN XX

Registration with payment on first come first served basis, maximum number of participants is 45.

Tick the below option: ***

	The fee 475 USD includes 4 nights full board and accommodation (sharing in a double) at Basecamp Masai Mara, a full time 4 days workshop with world leading expertise, all field visits and course literature and other study materials.
	The fee 400 USD includes 4 nights full board and accommodation (sharing in a double) at other nearby camps, a full time 4 days workshop with world leading expertise, all field visits and course literature and other study materials.
	The fee 300 USD includes 4 nights full board and accommodation (sharing in a double) at Dorobo Bushcamp, a full time 4 days workshop with world leading expertise, all field visits and course literature and other study materials.
	The fee 250 USD includes 4 nights full board and accommodation (sharing in a double) at Gametrackers Camp, a full time 4 days workshop with world leading expertise, all field visits and course literature and other study materials.
	The fee 150 USD includes day participation, coffees, lunches and dinners, full time 4 days workshop with world leading expertise, all field visits and course literature and other study materials.

Note: Prices do not include transport to and from the Mara, park tickets or drinks.

For further questions contact the workshop co-ordinator: info@eco-storm.net

Basecamp Explorer
Nairobi, Kenya
Phone: +254 20 38 77 490
Fax: +254 20 38 77 489
Mobile: +254 722 998 766

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