No.

6 Corridor Area, Off Jandu Road

P.O. Box 6240, Arusha, Tanzania; Tel/Fax: (+255 27) 254 3227;
Tel: (+255 27) 254 3226 /7 (+255 786) 821010
E-Mail: info@ealawsociety.org ; Website: www.ealawsociety.org
19th EALS AC/AGM. KIGALI, RWANDA. NOV 14-15, 2014
REGISTRATION FORM
Please return the filled form to EALS Secretariat (or your National Law Society), along with
payment or proof of payment.
Please type or use block letters or attach a business card
Title: Mr.

Ms.

Mrs

Dr.

Prof.

Hon.

Others.____________________

Surname: ____________________________ Other Names: ______________________________

Country________________________________________________________________________
EALS Member

Non EALS Member

Firm/Company/Institution ________________________________________________________
Physical address _________________________________________________________________
Office Telephone:________________________ Mobile: _________________________________
Email: _________________________________________________________________________
Website: _______________________________________________________________________
Paid For (Please tick as appropriate)
Registration Fee (200USD)

Others (Please Specify)_________________________

Total Amount Paid _____________________________________________________________

Travel and Accommodation details (For delegates requiring airport transfers and preconference day registration)
Date, Flight and time of Arrival in Kigali: ____________________________________________
Date, Flight and time of Departure: _________________________________________________
Hotel Booked: _________________________________________________________________