Registration fee includes:
         Admission to sessions
         Admission to exhibit area
         Mid-morning and afternoon coffee breaks
         Conference materials
         Welcome reception
         Meeting session 3 at the Cusco Potato Park

Title	Please SelectMr.Mrs.Miss.
Last Name *
First Name *
Address
Country	Please SelectArubaAfghanistanAngolaAnguillaAlbaniaAndorraNetherlands AntillesUnited Arab EmiratesArgentinaArmeniaAmerican SamoaAntarcticaFrench Southern TerritoriesAntigua and BarbudaAustraliaAustriaAzerbaijanBurundiBelgiumBeninBurkina FasoBangladeshBulgariaBahrainBahamasBosnia and HerzegowinaBelarusBelizeBermudaBoliviaBrazilBarbadosBruneiBhutanBouvet IslandBotswanaByelorusian SSR (Former)Central African RepublicCanadaCocos (Keeling) IslandsSwitzerlandChileChinaCIPHQCote dIvoireCameroonCongoCook IslandsColombiaComorosCape VerdeCosta RicaCzechoslovakia (Former)CubaChristmas Island (Australia)Cayman IslandsCyprusCzech RepublicGermanyDjiboutiDominicaDenmarkDominican RepublicAlgeriaEcuadorEgyptEritreaWestern SaharaSpainEstoniaEthiopiaFinlandFijiFalkland Islands (Malvinas)FranceFaroe IslandsMicronesiaGabonUnited KingdomGeorgiaGhanaGibraltarGuineaGuadeloupeGambiaGuinea-BissauEquatorial GuineaGreeceGrenadaGreenlandGuatemalaFrench GuianaGuamGuyanaHong KongHeard and Mc Donald IslandsHondurasCroatiaHaitiHungaryIndonesiaIndiaBritish Indian Ocean TerritoryIrelandIranIraqIcelandIsraelItalyJamaicaJordanJapanKazakhstanKenyaKyrgyzstanCambodiaKiribatiSaint Kitts and NevisKorea, Republic ofKuwaitLao People s Democratic RepublicLebanonLiberiaLibyan Arab JamahiriyaSaint LuciaLiechtensteinSri LankaLesothoLithuaniaLuxemburgLatviaMacauMoroccoMonacoMoldovaMadagascarMaldivesMexicoMarshall IslandsMaliMaltaMongoliaNorthern Mariana IslandsMozambiqueMauritaniaMontserratMartiniqueMauritiusMalawiMyanmarMalaysiaMayotteNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNiueNetherlandsNorwayNepalNauruNeutral Zone (Former)New ZealandOmanPakistanPanamaPitcairn IslandsPeruPhilippinesPalauPapua New GuineaPolandPuerto RicoKorea, Democratic People s Republic ofPortugalParaguayFrench PolynesiaQatarReunionRomaniaRussian FederationRwandaSaudi ArabiaSudanSenegalSingaporeSaint HelenaSvalbard and Jan Mayen IslandsSolomon IslandsSierra LeoneEl SalvadorSan Marino Somalia Saint Pierre and Miquelon Sao Tome e Principe Union of Soviet Socialist Republics (Former) Surinam Slovakia Slovenia Sweden Swaziland Switzerland Seychelles Syrian Arab RepublicTurks and Caicos IslandsChadTogoThailandTajikistanTokelauTurkmenistanEast TimorTongaTrinidad and TobagoTunisiaTurkeyTuvaluTaiwanTanzaniaUgandaUkraineUnited States Misc. Pacific IslandsUruguayUnited States of AmericaUzbekistanVatican City StateSaint Vincent and the GrenadinesVenezuelaBritish Virgin IslandsVirgin Islands (US)VietnamVanuatuWallis and Fortuna IslandsSamoaYemenYugoslavia (Former)South AfricaZaireZambiaZimbabwe
City
Telephone
Email *
Organization
Fax
Oral presentation ?	Yes No
Tentative Title
Poster	Yes No
Banquet in Monasterio Hotel US $70	Yes No

Please note that registration is not complete until receipt of the fee.

Cancellation and Refunds
Request for refunds will be honored only until March 03, 2008 and will be subject to an non-refundable processing fee of $US100.

Payment of Registration Fee
Payment should be made in advance, in US dollars, in one of the following ways.  Please follow the payment instructions below carefully: 

Wire Bank transfer 
Citibank
Beneficiary Name:        International Potato Center
Account Number:         10724723
ABA                            021000089
SWIFT:                        CITIUS33
Beneficiary’s Bank:       Citibank, N.A.
Address                       The Citigroup Center Building
153 East 53rd. Street, 16th. Floor / Zone 1, New York, NY 10043
Attention:                      Frances Fulgencio

In Details or Ref., please make sure to indicate “Potato Conference” in order  to ensure efficient money handling.

*  International Check payable to International Potato Center
Send a copy of the registration form with the cheque made payable to: International Potato Center - in $US only to:
International Potato Center
c/o Ms. Martha Huanes
Avenida La Molina 1895
Apartado Postal 1558
Lima 12, Perú

Credit Card: only VISA is accepted
Registration and payment made by credit card will need to add 6% to the registration fee to cover banking expenses. The attached form must be sent, duly signed, by fax or regular mail: TO SEE IT OPEN FORMAT ATTACHED.

International Potato Center
c/o Ms. Martha Huanes
Avenida La Molina 1895
Apartado Postal 1558
Lima 12, Perú
Fax: +511-3175326

For Peruvian Participants:
Deposits in Banco de Credito are available
Dollars Current Account: 193-0827442-1-09
Beneficiary: Centro Internacional de la Papa

Kindly send confirmation copy to:
International Potato Center
c/o Ms. Martha Huanes
(m.huanes@cgiar.org)
Fax: +511-3175324

Please note that registration is not complete until receipt of the fee.