Registration form

12th. ASAC ENCOUNTER OF JCI SENATORS
17-21 August 2022
“Building the Bridge across all of the Americas through Business, Friendship and Tourism”

Registration on line

PARTICIPANT’S INFORMATION

Please write down full name of participant and if it's Mr., Mrs. or Ms.
Please, indicate number, street and district
Please, indicate cell phone and country code
Please, indicate home phone and country code

ADDITIONAL INFORMATION

Indicate if you have a special diet or have special needs especiales
Please write down the name, phone and email of a person to contact in case of emergency

REGISTRATION

Please, indicate the registration fee you pay:
1) $650 USD per person until June 30
2) $750 USD per person until July 30
3) $850 USD per person until the Encounter
Registration fee includes Opening & Closing Ceremonies, Registration Kit, lunch and dinner, socials, tours, parties and transportation to and from airport.
Please make hotel reservation directly with Hyatt Regency Trinidad http://hyattregencytrinidad.com The agreed rate is USD129.00 per room per night, excluding taxes.
Please, indicate the method and details of your payment
- PayPal: PayPal.Me/RmsB07 or rmsbrath@yahoo.com
- Western Union: Ray MS Brathwaite Phone / Tel. +1 868 685 7307
- Bank Wire Transfer:
Intermediary bank: Wells Fargo Bank, Phyladelphia, Pn. USA - Swift Code: PNBPUS33PHL / ABA 026005092
Beneficiary Bank: First Citizens Bank, 9 Queens Park Savanah, Port of Spain - Swift Code / Código Swift: FCTTTTPS
Beneficiary: Ray MS Brathwaite - Account N° : 1379890, Address: 39 Singh St. Dinsley, Tacarigua 340707, Trinidad&Tobago.

ARRIVAL AND STAY INFORMATION

Questions you can contact the Director General of the 12th ASAC Encounter by email: rmsbrath@yahoo.com

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