Registration for /ETC 2008 Amsterdam

This form asks participants a few questions. The answers will help us prepare for the Eclectic Tech Carnival in Amsterdam in May. We will only use the information gathered for organisational and communication purposes related to this year's event.

Registration can continue until the event. However, we cannot cover requests for travel costs after 1 April 2008.

Contact Information

Privacy note: We will only use your e-mail adres for /ETC communication

Name:

First and Last Name, eg Ada Lovelace

Email: *

Username or Nick: *

We will create an account for you on this website: what name, nick, user ID should we set for you?

City:

Phone number:

Postal address:

Logistics

Attend only or Contribute?: *

	yes	no
Are you thinking of facilitating something at the /ETC?

Describe what you are thinking of contributing.:

Setup:

	yes	no
Will you arrive early to help set up the event?

Arrival Date and Time:

Departure Date and Time:

Days Attending:

	yes	no
Saturday May 24th
Sunday 25th
Monday 26th
Tuesday 27th
Wednesday 28th
Thursday 29th
Friday 30th
Saturday 31st
Sunday June 1st

An inidication of which days you probably will be attending. We need to know this for the food and accomodation.

Accommodation: *

	yes	no
Do you need accommodation?

For those who need a Visa

Date of Birth:

Passport Number:

Address:

Date of Issue:

Expiry Date:

Participation Fee

Our graded, scaled fee system aims to take into account that women are from varying contexts. This includes income, country of origin and personal priorities. The registration fee is collected from all participants: attendees, contributors and organisers. It covers, among other things, vegan food for all.

Fee: *

60 Euros = regular rate (what we expect most women can pay for 7 days of food and lodging in Amsterdam)

120 Euros = I love the /ETC and want to contribute extra (what we hope some women can afford to pay)

30 Euros = reduced rate for women who also love the /ETC, but can't afford the other two rates

6 Euro's = if attending only a single day or two

Extra

Miscellaneous questions.

Do you have any special needs?:

We would very much like to be able to provide the most user friendly event as possible. We are taking into account child care, catering for diets and allergies, translation into different languages and assistance for people with disabilities. Please tell us what your needs are.

Feedback or Comments?:

If there is any other information that would help make your particpation at /ETC better, more comfortable, more educational or whatever, please feel free to mention it here.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Math Question: * 4 + 8 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Submitted by donna on Tue, 2008-02-26 17:37.

Registration for /ETC 2008 Amsterdam

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