REGISTRATION FORM

HACCP Registration Form

AFDO/Seafood Alliance International Training Courses
Basic Seafood HACCP for Fish and Fishery Products
Location: Rama Gardens Hotel, Bangkok, Thailand
Training Dates: January 8-10, 2003
Registration Fee: 180 US Dollars per person
(This rate includes lunch, refreshments, manual, FDA’s guide and AFDO Certificate)
PLEASE PRINT AND USE ONE FORM FOR EACH PERSON REGISTERING
Name _______________________________________________________________________

Company ____________________________________________________________________

Address _____________________________________________________________________

City _________________ State/Province ______________ Zip Code __________________

Country _________________________________ Phone ______________________________

Fax ___________________________ Email ________________________________________

Course Registration:
□ Full Basic HACCP Course (180 US Dollars/person)
□ Practical Training Session (1-1/2 day course) for people completing the internet course (must submit notification of segment one completion from Cornell Sea Grant Program with registration form):
□ No manual and FDA’s Guide (140 US Dollars/person)
□ With manual and FDA’s Guide (160 US Dollars/person)

Hotel Reservation: □Standard-Single (1,000 Bahts/night) □Deluxe-Single (2,000 Bahts/night)

□Standard-Double (1,200 Bahts/night) □Deluxe-Double (2,200 Bahts/night)

Check-in Date: _______________ Check-out Date: ______________

Payment Method: □Cashier Check □Bank Draft □ Direct Money Transfer

Cashier Checks and Bank Drafts Payable to: "Department of Fishery Products, Kasetsart University"
Amount Enclosed ______________Check Number __________________
Mailing Address: Seafood HACCP/SCP Training Course, Department of Fishery Products, Kasetsart University, Bang-Kaen, Bangkok 10900, Thailand

Direct Money Transfer to: Bangkok Bank, Bangkhen Branch, Account Number 161-4-633160, Account Name: Department of Fishery Products, Account Type: Savings, Swift Code: BKKBTHBK for Seafood SCP/HACCP Registration. Registrants must pay their own extra fee by themselves including the Thailand extra fee of 0.25% for this payment method.

Contact: Dr. Wanchai Worawattanamateekul
Department of Fishery Products, Kasetsart University, Chatuchak, Bangkok 10900, Thailand
Phone: 66-2-942-8644 to 5
Fax: 66-2-942-8363 or 66-2-942-8363 press 0
Email: ffiswcw@ku.ac.th, fproworkshop@hotmail.com, or jirapa_h@yahoo.com

Please Mail This Form Along With Cashier Check or Draft; Do Not Send Cash!

Hotel Reservation:	□Standard-Single (1,000 Bahts/night)	□Deluxe-Single (2,000 Bahts/night)
	□Standard-Double (1,200 Bahts/night)	□Deluxe-Double (2,200 Bahts/night)
	Check-in Date: _______________	Check-out Date: ______________

Payment Method:	□Cashier Check	□Bank Draft	□ Direct Money Transfer
Cashier Checks and Bank Drafts Payable to: "Department of Fishery Products, Kasetsart University" Amount Enclosed ______________Check Number __________________ Mailing Address: Seafood HACCP/SCP Training Course, Department of Fishery Products, Kasetsart University, Bang-Kaen, Bangkok 10900, Thailand
Direct Money Transfer to: Bangkok Bank, Bangkhen Branch, Account Number 161-4-633160, Account Name: Department of Fishery Products, Account Type: Savings, Swift Code: BKKBTHBK for Seafood SCP/HACCP Registration. Registrants must pay their own extra fee by themselves including the Thailand extra fee of 0.25% for this payment method.