Fields marked with a * are required * * * * * Contact details * an NGOmyself NGO Website What is your profession Choose biologist/zoologist lawyer veterinarian other Country * Choose your country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia And Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'Ivoire Croatia (Local Name: Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic Of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia, South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard And Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Provide a brief description about relevant experience and current activities * I would like to present an overview of my activities at the conference I have read and understood the objectives of the conference * Provide a brief description of your aspirations for this conference * Registration fees: ENDCAP member Standard Academics and wildlife professionals* Low-income with no other source of funding ** One day €35€20€20 Full conference €60€35€35 non-ENDCAP member Standard Academics and wildlife professionals* Low-income with no other source of funding ** One day €75€60€50 Full conference €150€120€100 * Researchers, veterinarians, biologists, etc. not affiliated to a Non-Government Organisation ** The conference organisers may request proof of status from delegates registered in these categories. Accommodation: I would like to book accommodation at the conference venue: Best Western County House Hotel Indicate which accommodation option you would like: Single occupancy* 114€ One night168€ Two nights252€ Three nights Double or twin occupancy* 124€ One night188€ Two nights282€ Three nights I would like to share a twin room and therefore pay half the cost of a twin room. * Rates include breakfast, free wifi Internet and all taxes. Catering: (All food will be vegetarian) I am a vegan Other dietary requirements: I would like to attend the Conference reception and dinner on 18th March (I recognise that there is an additional cost €30) I would like to attend the post-screening dinner on 19th March (I recognise that I will be required to cover my own costs) Screening of Blackfish in the European Parliament: 19th March I will attend the Blackfish screening at the European Parliament on 19th March (I acknowledge that I must provide personal information for security reasons) I will travel to the Parliament from the Conference Venue using the arrange transport (I recognise that there is an additional cost €10) Payment: The Born Free Foundation will be managing the finances for the Conference. Please indicate how you will pay your registration fee below: * I will pay by bank transfer I will pay by cheque (NB. ONLY GBP cheques will be accepted) I will require an invoice Once registered, delegates will be individually contacted to confirm attendance and to arrange payment.