This form should be sent directly to the hotel of your choice with a copy to the National Coordinator of the Forum to ensure transfer to and from the airport
by fax at: +260 21 1 246701

Family name -------------------------------------------------------------------------------------------------------------------

First name -------------------------------------------------------------------------------------------------------------

Address ------------------------------------------------------------------------ Tel: --------------------------

----------------------------------------------------------------------------------------- Fax: --------------------------

----------------------------------------------------------------------------------------- E-mail: ------------------------

Name of Hotel ------------------------------------------

------------ single/double room(s) at the Regional Forum preferential rate

Credit card to guarantee this reservation: AX/VISA/DINERS/EC (or other) -----------------------------

No. -------------------------------------------------------- valid until ------------------------------------------

Date ------------------------------------------------------ Signature ---------------------------------------------

_____________________________________________________________________________________

TRANSFER INFORMATION

Transportation will be provided from the airport to the hotels and to the venue of the Forum.