Registration form Casablanca, Morocco, 9-11 February 2023 1- Participant's Information First Name* Last Name* Title / Position Organisation Full Address Country Mobile Phone* Email* Accompanying Person's First Name Accompanying Person's Last Name High income Low & middle income 2- Registration Fees Health Care Professionals (Including Psychiatrists and Physicians from all specialties, Clinical Psychologists, Clinical Social Workers, Nurses, Counselors, and other Health Care Workers) 425 Euros / participant Residents and Trainees 340 Euros / participant Sofitel Tour Blanche 5* Hotel or Similar Fully Booked, please contact : realize.events1@gmail.com Novotel City Center 4* A Hotel or Similar Single Room on Bed & Breakfast taxe Included : 95 Euros / Single Double Room on Bed & Breakfast taxe Included : 115 Euros / Double Ibis Abdelmoumen 4* Hotel or Similar Single Room on Bed & Breakfast taxe Included : 75 Euros / Single Double Room on Bed & Breakfast taxe Included : 85 Euros / Double Booking Dates In…..Feb / 2023 Booking Dates Out…..Feb / 2023 4- Transfers from & to Casablanca Airport "CMN" Rate for Arrival : 35 Euros per person & per way ( Minimum 2 people invoiced) Number of participants 1 2 Arrival Date To Casablanca CMN Flight Number Landing Time Number of participants Rate for Departure : 35 Euros per person & per way ( Minimum 2 people invoiced) Number of participants 1 2 Departure Date From Casablanca CMN Flight Number Take Off Time Number of participants 5- Gala Dinner Feb, 10th 2023 (transfer in & out, and beverage soft drinks included) Price per pax : 75 Euros Number of participants 1 2 6- Excursions Half day Casablanca Visit 09 Feb AM : 30 Euros / participant Full day Rabat Excursion 09 Feb : 40 Euros / participant Full day Marrakech Excursion 10 Feb : 65 Euros / participant Group A: Courses 1-4 (select one) Course 1. Fundamentals of Supportive Psychotherapy Course 2. Fundamentals of CBT Course 3. CBT for Psychosis Course 4. Psychotherapy in Primary Care (in French) Group B: Courses 5-7 (select one) Course 5. Fundamentals of Psychodynamic Psychotherapy Course 6. Basic Mindfulness Skills for Psychotherapists Course 7. Fundamentals of Motivational Interviewing Number of participants NB: Transportation & English speaking guide are included.All meals & Monuments fees are on your charge.A Minimum of 8 participants is required.Ways of payment By Credit Card Bank Wire Transfer to the following bank references To pay online with a payment card, the customer enters his payment card credentials on the secure payment page of Centre Monétique Interbancaire (CMI). When the transaction is accepted by the issuer bank, the settlement to debit the customer’s account is made in the working-day following the transaction confirmation date. Online payment with credit cards is secured by CMI that provides a fully secure payment service. The customer guarantees El Yakout Voyages that he has enough funds required when using the payment method chosen during the payment validation. The payment data stored in CMI for the account of El Yakout Voyages are considered as proof of payment for the online transaction made by the customer. 1/ By Credit CardVisa and Mastercard are the two only accepted credit cardsNB: 3.25% fee is charged for credit card processing.2/ By a Bank Wire Transfer to the following bank references Bank detail: Beneficiary (Vendor/Organizer): El Yakout VoyagesVendor Address: Angle Rue Pierre ärrent Espace Paquet. Bureau 108 ler Etage Casablanca 20420 Morocco Bank : Attijariwafabank , Branch Casablanca Place AknoulBank Address: 1, Place Nicolas Paquet , Casablanca MoroccoIBAN : MA 0077 8000 0375 2000 0008 4511Swift Code BCMAMAMCNB: The Swift Wire transfer fees are at the participants’ charge.Pls send us, by e-mail as attached document, the copy of the swift wire transfer to the following email:Finance.officer@elyakoutvoyages.com3/ In case of any issues paying by credit card, kindly; contact M. Driss Hatim at the following e-mail address, he will be pleased to assist you : email: Finance.officer@elyakoutvoyages.com Amount : 0 Euros
