For those who want to attend the World Prayer Congress for Life 2012 in Vienna, please register below. You will then be sent further information by email!

  *
Title
First Name *
Last Name *
 
Street / No. *
ZIP-Code *
City *
State/Country *
Date of Birth *
 (Format: DD.MM.YYYY)
Passport-No.
(required if travel by plane)
Citizenship *
 
Telephone *
 International Code           ( e.g. 001 for United States )
   Complete Number *     
 
E-Mail *
 
Native Language*        possibly 1st Foreign Language:                                                                            possibly 2nd Foreign Language: 

 
Congress: *
 I participate in the Congress::
 
  Full Congress: Thursday 4.10. -  Sunday 7.10.2012
 I only can participate at the following days:  from      to      2012. 
        (If only one day, please choose the same date twice.)
                           Costs:          120 €   Total Congress Fee  (30 € per day)                          
 Accomondation *

I need Accomondation: Congress Accomondation at Hotel IBIS

     Costs Hotel IBIS:  DR incl. Breakfast for 2 persons per night: 91.- Euro
                                 SR incl. Breakfast for 1 person   per night: 80.- Euro

                            (this is a Special Offer up to 15th of August 2012, 30% cheaper!)

       Please order the rooms at Hotel IBIS directly here (a new window will be opened):

                                      Booking of Hotel IBIS Mariahilf
I don't need Accomondation

 
Criteria for Assignment of Double-Rooms in Hotel (as Information for the Organizer):
 
Organization affiliated with
 
I would like my Hotel room assignment in the same room with the following Congress participant as named below:     
Name


Place for Comments/Notices:
 
Important for the Organization of the Congress:
Workshop
If you want to participate in the PAS-Workshop, please select:
PAS-Workshop for Priests, Doctors and Persons im Counceling- und
     Healing-Service:
                                                     Mon. 8th of Oct., 9:00 - 12:30 p.m.
        
      Professional Category:  *

                                        (if 'Other' please write here: )

Travel

I'm travelling with *


Your Date of Arrival* (Format: DD.MM.YYYY):     Time of Arrival* (approx.):   
 
                            For those travling by Train or Bus, please provide the following information:
                            Train-Station/Bus-Stop/City of Arrival: 
 
  For those travling by Airplane, please provide the following information:
  My Outward Flight Data:
 

Airport/ City of my Departure

  Airline Carrier
  Flight Number
Airport/ City of my Arrival
 
  My Departure Data back Home:
  Date of Departure
  Time of Departure
  Airline Carrier
  Flight Number

 

* Fields which must be filled out. 

By pressing "Send" I register now to the 6th World-Prayer-Congress for Life in Vienna 2012:

 


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