Registration & Payment Form – Château Saint André Center for Ethics and Integrity

Please use the following form to arrange for registration and payment of your attendance. The same form can be used for payment of the registration fee, the accompanying person fee, or any other payment owed. Please use the following table to calculate your fee (in Euros):

Regular attendance (incl. all academic sessions): Euro 795 (= US$ 850)*
Accompanying person who shares a guest room with a regular attendee: Euro 420 (=US$ 450)
Extra Friday-to-Saturday night following the formal end of the symposium on Friday at 14h00, incl. Friday excursion to the medieval city of Uzès and drinks & dinner there, as well as breakfast the next morning: Euro 125 (=US$ 135) per person.

* If two regular attendees are sharing a guest room, each can subtract Euro 45 from the fee, resulting in a registration fee of Euro 750. Please note that this discount for sharing a guest room is already calculated into the accompanying person’s fee.

The fees listed above include :

Assistance with travel planning as needed
Transportation to/from the symposium site from one of Avignon’s train stations or downtown Avignon (for those arriving early in Avignon for some sightseeing)
Occupancy of a guest room with private bathroom for 6 days/5 nights at the symposium site
All drinks and all meals (except one dinner)
Two excursions (to Villeneuve-lès-Avignon and to the Point-du-Gard)
For regular participants only: Attendance of all academic sessions and symposium materials
For accompanying persons only: Transportation on days without scheduled excursions to Avignon (from where one can also commute via a short direct train to Tarascon, Beaucaire and Arles).

There are two ways of paying:

(1) PAYPAL. PayPal can process most major credit cards as well as direct bank account withdrawals. If you complete the form below, you will automatically be routed to the PayPal site.

(2) IBAN. If you are residing in Europe and you have a bank account with an IBAN number, we kindly request that you use this option to wire your fee (in Euros) to the France-based bank account listed below. PayPal will withhold approximately 5% from the payment you make; in contrast, IBAN transfers arrive in full at the Center’s account. Please complete the form below and select the IBAN option. Then make a manual wire transfer from your own account to the account mentioned in the email you have received from us with the total amount owed.

Please contact us at info[at]chateausaintandre.center or call +33 (0)7 89 67 69 82 if for any reason the form does not work or you have questions regarding the payment process.

Are you registering and paying for yourself or for somebody else? *

I am the registrant and paying for myselfI am paying for somebody else (you will first be asked to provide the registrant's name, contact and travel information, and then your own name and contact information)

Seminar for which you are registering *

Prefix of the registrant

First name of the registrant

Last Name of the registrant

Street address of the registrant

Apartment, suite, etc. of the registrant

City of the registrant

State/Province of the registrant

ZIP / Postal Code of the registrant

Country of the registrant

Email Address of the registrant

Phone (cellular/portable) *

Phone (landline)

Date of birth of registrant (optional)

Day

Month

Year

Please list any dietary restrictions *

Are you sharing your guestroom with another seminar participant (who is registering separately)? *NoYes (please provide his/her name below)

Please enter this person's name

Are you being accompanied by a person who is NOT attending the academic program, but the social program instead? *NoYes (please provide his/her name below)

Please enter accompanying person's name

Please list any dietary restrictions of your accompanying person

Date of birth of accompanying person (optional)

Day

Month

Year

Your expected arrival date in Avignon *I expect to arrive in Avignon on Sunday July 28 (the start date of the symposium)I expect to arrive one or more days before the start of the symposium (and will spend those nights at an Avignon hotel/B&B)I expect to arrive only after the start of symposium (please specify in the text box for additional travel info below)I do not yet know when I will be arriving in Avignon

Will you be able to stay until the end of the symposium on Friday at 14h00? *Yes, I will attend all symposium sessions, including the Friday final luncheonNo, I will have to leave on Friday morning before lunchNo, I will have to leave even earlier (please specify below)

If you have to depart on or before Thursday August 1, please provide your expected departure date and time below

Are you planning to spend an extra night at the retreat center (from Friday 2 to Saturday 3 August) and participate in the Friday afternoon/evening excursion to Uzès? *NoYes (an extra charge will apply)I do not know yet (you can also register and pay for this extra night and the excursion later)

Please add any additional information about travel already planned or booked

Prefix of paying person if different from registrant

First name of paying person if different from registrant

Last name of paying person if different from registrant

Street address of paying person if different from registrant

City of paying person if different from registrant

State/Province of paying person if different from registrant

ZIP / Postal Code of paying person if different from registrant

Country of paying person if different from registrant

Phone connected to mode of payment

Email address of paying person

I am using this payment form to pay for: *

Specify what payment is for *

I wish to pay in the following manner: *Via PayPalVia IBAN (see transfer instructions in email)Yet another payment method (please specify below)

Please specify alternate method of payment

Please enter total fee to be paid in Euros *

EUR

Please add any further comments or questions