GRAND OPPORTUNITIES IN THE NEW GLOBALIZED WORLD

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12th WORLD CONGRESS OF CONSULS OCTOBER 4 6, 2018, BRUSSELS, BELGIUM GRAND OPPORTUNITIES IN THE NEW GLOBALIZED WORLD REGISTRATION & HOTEL BOOKING FORM WELCOME The 12 th World Congress of Consuls will take place from the 4 th to the 6 nd of October 2018 in Brussels, Belgium, capital of European Union. Please send us this official booking form, via e-mail. We will get back to you in a short delay. I M P O R T A N T I N F O R M A T I O N To assume a perfect organization of the event, please be aware that the registrations will be closed from September 15th, 2018, therefore we strongly advise you to register at your earliest convenience. Please, kindly note that to obtain the visa to Belgium, the Congress Secretariat will provide you with all the necessary procedure to be followed, as soon as your registration will have been completed. Please inform us.

CONGRESS REGISTRATION FORM Also online available on the event website: www.ficacworldcongress.org Registration form to be sent back to: Congress Secretariat info@ficacworldcongress.org Chairman BCU - Organisor Willy Deswaef deswaef.willy@skynet.be +32 475 51 29 16 IDENTIFICATION CONGRESSIST Surname First Name Mr. Mrs. Ms. Consul General Consul Vice Consul Representing the country of Receiving country Address Postal Code City Country Telephone E-mail Country of Citizenship Passport Nr Issued at: Date of issue: Date of expiry ACCOMPANYING PERSONS 1 Surname First Name Mr. Mrs. Ms. Passport Nr Issued at: Date of issue: Date of expiry ACCOMPANYING PERSONS 2 Surname First Name Mr. Mrs. Ms. Passport Nr Issued at: Date of issue: Date of expiry For the Congressists: participation in all scheduled events in accordance with enclosed program (subject to any change), including receptions, lunches, dinners and transfers from/to Brussels airport. For the Accompanying Persons: participation in all scheduled social events of the Accompanying Persons program (subject to any change), and transfers from/to Brussels airport.

CONGRESS REGISTRATION CONGRESSIST 500,00 ( Programme of 3 days all included ) * ACCOMPAGNANT 400,00 ( Programme of 3 days all included ) * OPTIONAL T O U R F E E S A N D R E G I S T R A T I O N TOUR FEES NUMBER OF PERSONS TOTAL PRE CONGRESS - LIEGE - Thursday 4th PAST CONGRESS - GHENT - Sunday 7th 50 pp 50 pp SUB TOTAL AMOUNT SUBSCRIPTION FOR NON-CONGRESSISTS * THIS ACTIVITIES ARE INCLUDED IN THE CONGRESSIST AND ACCOMPAGNANTS SUBSCRIPTION ACTIVITY NUMBER OF PERSONS TOTAL RECEPTION CITY HALL BRUSSELS - Thursday 4th 100 MEETINGS (AM & PM) IN SENATE + LUNCH (CERCLE GAULOIS) - Friday 5th 125 AUSTRIAN EVENING IN BOZAR - Friday 5th 100 GALA DINER IN EGMONT - Saturday 6th 125 SUB TOTAL AMOUNT BALANCE Registration Fee Hotel fee (booking and payment direct to hotel) Optional Tour(s) fee Sub Total: Sub Total: Sub Total: TOTAL AMOUNT: BANK INFORMATION BCU Ficac world congress BE84363169664659 BIC BBRUBEBB You may register for the Congress until September 15th 2018, your registration is official after receipt of payment. Your registration will be confirmed.

ACCOMODATION Sofitel Le Louise and Hilton Grand Place are the Congress Hotels. We arranged special conditions Shuttle services from the airport (on 04/10) and to the airport (07/10) to Sofitel Le Louise and Hilton Grand Place. Shuttle services from Sofitel Le Louise and Hilton Grand Place to the Congress venues. This table shows you the rates (breakfast included) Booking has to be made directly to the hotels. CLICK HERE FOR > Booking Hilton CLICK HERE FOR > Booking Sofitel HOTELS RATES/ room/night breakfast included SOFITEL LE LOUISE 100 rooms HILTON GRAND PLACE 40 rooms 4/10 5, 6/10 4, 5, 6/10 SINGLE 175,00 DOUBLE 195,00 SINGLE 209,00 179,00 DOUBLE 229,00 199,00 Please fill in this table for the information of the Congress Organizer HOTELS SOFITEL HILTON NUMBER OF SINGLE DOUBLE Check in Check out Please indicate your hotel and room selection (Prices are per day, per roomand buffet breakfast are included - City Tax 4,24 not included) TWIN (2 separate beds) NUMBER OF NIGHTS SPECIAL ORDER (MEALS): Diabetic Vegetarian No meat No fish No gluten Other requirements

TRANSPORT The Congress organizer arranges shuttle services from the airport (on 04/10) to Sofitel Le Louise and Hilton Grand Place and from Sofitel Le Louise and Hilton Grand Place to the airport (07/10) To ensure that this is done flawlessly, we ask you the following information NAME CONGRESSIST ARRIVAL DATE & TIME AIRPORT AIRLINE FLIGHT N DEPARTURE DATE AIRPORT AIRLINE FLIGHT N NAME ACCOMPANYING PERSONS 1 ARRIVAL DATE & TIME AIRPORT AIRLINE FLIGHT N DEPARTURE DATE AIRPORT AIRLINE FLIGHT N NAME ACCOMPANYING PERSONS 2 ARRIVAL DATE & TIME AIRPORT AIRLINE FLIGHT N DEPARTURE DATE AIRPORT AIRLINE FLIGHT N

REGISTRATION CANCELLATION POLICY: Postmarked prior July 15, 2018 Postmarked prior August 15, 2018 Postmarked after September 15, 2018 Postmarked after September 16, 2018 100% refund registration and hotel fees. 75% refund registration fee and 75% hotel fee. 50% refund registration fee and refund hotel 50% hotel fees. No refund registration fee and no refund hotel fees You may register for the Congress until September 15th 2018, your registration is official after receipt of payment. Your registration will be confirmed.