Delegate Registration Form

Please complete the following steps using either your 'mouse' or 'tab' key to move between sections:
  • (1) Name and Contact Information
  • (2) CIA Member Organization (Premiere Voting, Voting, Supporting, Corresponding or Guest).
  • (3) Please use the hotel reservation form on the accommodation page to reserve your room today.
  • (4) Arrival Date and Departure Date
  • (5) Submit your registration

If possible, please try and make your reservation by: September 10, 2010

Step 1 - Personal Information Please complete the following information
Family Name
First Name
Contact Information
Address Street/Number
City
State, Postal/Zip Code
Country
Telephone Country: City: Number:
Fax: Country: City: Number:
E-mail
Please confirm registration by
Step 2 - Your Organization Please select one of the following:
CIA Premiere Voting Member
If from CIA Premiere Voting Member, please select
Position in Premiere Voting Organization
Officer, Delegate, Member etc...
or CIA Voting Member
If from CIA Voting Member
Position in Voting Member Organization
Officer, Delegate, Member etc...
or CIA Corresponding/Supporting Member
If from CIA Corresponding/Supporting Member
Position in Corresponding Organization
Officer, Delegate, Member etc...
or CIA Guest/Visitor
If you are from an organization or country that is not a CIA member, please specify your country and title.
Step 3 - Hotel Selection (see description Below)
Have you made your hotel reservation yet? Yes No:
If not, please visit the Accommodation page to make your reservation as soon as possible
Step 4 - Arrival Date/Departure Date
Arrival Date:
 
Departure Date:
 
It is anticipated that I will:
Questions or additional flight information:
Step 5 - Submit Your Registration Form
Please submit your information by clicking the "SUBMIT DELEGATE INFO" button below.

    

We look forward to welcoming you to Croatia for the 63rd Coupe Mondiale!


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