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KSAALT2015
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Eight KSAALT Annual ConferenceInnovation in EFL in the Saudi
ContextMay 2nd , 2015
Al Khobar, Saudi Arabia
CONFERENCE REGISTRATION FORM
1. Participation’s InformationName Badge and Mailing Information
Title: First Name: Surname:
(this name will appear on your name badge)Institution / Organization:
Department / Unit:
Mailing Address:
City / Country: Postal Code:
Work Phone: Cell Phone:
E-mail: Fax:
2. Conference FeesConference fees include admission to conference sessions, one lunch, and conference program and registration materials.
Category Member Non-Member
Student Package(membership +
conference)Early Bird (from 13 Jan until 28 Feb)
SAR300 SAR400 SR150 SR475
Regular (from 1 Mar until 31 Mar)
SAR350 SAR500 SR175 SR 525
Late (from 1 Apr until 2 May)
SAR400 SAR600 SR 200 SR 575
Presenter SR 200
3. Payment
Payment Information
Conference fee: SARI will pay the amount by cash to : a. Muhammad Siraj —PMU male: msirajuk@gmail.com
b. Malikah Sisay –PMU female: ksaaltprez@gmail.com
c Georgios Kormpas (ksaaltrcpr@gmail.com)--Riyadh
d. Philline Deraney -Al Khobar/Dammam:
ksaaltsecretary@gmail.com
e. Sana Salam—UD Rakkah female: sana.salam@gmail.com
f. Amani Al Ghamdi—UD main campus Dammam female:
amani.k.hamdan@gmail.com
g. Hamdallah Alhusban—UD male: alhousban@yahoo.com
h. Mark Murray—Jubail Men: mark.murray@member.mensa.org
i. Thomas Wood—Hofuf—KFU: doowsamoht@gmail.com
j. Jawaria Iqbal - ARAMCO :jiconference@hotmail.com
k. Careemah Choong – ESGA/COE careemahchoong@gmail.com
l.Osama -KFUPM :osamaabdelmajed@hotmail.com
m. Hossam Al Mana Hospital & Conference Treasurer:
ksaalt_treasurer2013@yahoo.com
n. Dennis Brittingham – JIC :integrity 37@yahoo.com
Alternately pay to your chapter treasurer
Al Khobar : Mrs.Careemah Choong (careemahchoong@gmail.com)
Riyadh : Ms. Bushra Albayaty (ksaaltrctr@gmail.com)
Yanbu : Mr. Mahmoud Al Meski (malmeski@yic.edu.sa)
Abha :Dr. Areej Hussein – (badr_a_q@hotmail.com)
Jeddah:
4. Additional Instructions
Deadlines: Registration fees of different categories can be submitted in person no later than the deadlines stated as above at a KSAALT monthly meeting. Please consult the KSAALT website at www.ksaalt.org for the dates and locations of the monthly meetings. Please use ONE form per person (we apologize that Group Registration is not available this year).
Payment Information: Completed registration forms must be accompanied by full payment in order to be processed.
Refund Policy: Any cancellation of attendance should be notified to the Conference Committee in writing. Total conference fees will be partially refunded if notice of cancellation is received by April 1 st , 2015 . After April 1st, 2015, no refunds will be made. “No shows” are non-refundable.
Confirmation: Please allow up to 15 days for confirmation of your registration.
I hereby agree to pay the full amount of the conference registration. I have taken notice of the cancellation and refund terms stated on this registration form.
Signature: _________________________________________
Name in print: _________________________________________
Date: _____________ / _____________ / ____________
Contact Information:
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