Registration Form

Please select your choice from the following *
Registration Fee
 Participant US $ 800
 Student ( Please provide a copy of your ID ) US $ 250
 NGO delegate US $ 250

The registration fee includes the followings:

  • Participation in all conference sessions.
  • Lunch and Tea breaks on the days of the conference sessions
  • Bag with the conference material

This fee does NOT include hotel accommodations.

Personal Details *


No. Name Designation Tel E-mail
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2
3
4
5

We would like to request your organization to kindly pay the registration fees through:


  1. Credit Card – Please provide us a copy of your identification
  2. Cheque - Payment should be issued with Company Cheques/Local Manager Cheque/Draft Cheque (in $)  in favor of Dubai Municipality
  3. Cash - Payment is accepted in the treasury sections of all Dubai Municipality offices.
  4. Bank Transfer - Emirates Bank International PJSC, Dubai Main Branch P.O. Box 2923 UAE. Account Name : Dubai Municipality - Revenue A/c. Account Number :  0022-107445-001. SWIFT : EBILAEAD.

Company Details


Organization : *
Type of Business : *
Full Address : *
City : *
Country: *
Company URL :
Phone : *
Fax :
Mobile :
E-mail : *

Payment by credit card :


VISA MasterCard  (Please provide your credit card details and a photocopy of passport for identification to alyazyama@dm.gov.ae )

Cheque ( In case of draft cheque,please send a copy of the receipt to +971 4 3369197 alyazyama@dm.gov.ae )
Cheque Number :
Cheque Date :
Bank Name / Branch :

Cash


Bank Transfer



Cancellation Policy: - In the event of cancellation or non-attendance, no undertaking can be given to refund or cancel the fee. Instead, a substitute delegate may be nominated, but please e-mail the nominee name to:cancel@envirocities.org


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