Name:
|
Country:
|
Postal Address: |
Email:
Alternative Email (optional):
|
Town / City:
|
Home Telephone:
|
State / County / Province:
|
Mobile Telephone:
|
Postal / Zip Code:
|
Sex: Male Female |
Number of People in your Group / Family:
|
Are you an IBF Member? Yes No |
If yes, have you paid your membership fee? Yes No |
Membership Renewal Date:
|
Do you have a role in the IBF? (select role)
None
Admin Team
National Coordinator (NC)
Integrity Committee (IC)
Other
|
GIC Package Requested (select from the table below)
A (luxury)
B (standard)
C (economy)
D (budget)
E (camping)
|
Are you an Adult, Child or Infant? (select as appropriate)
Adult (over 16)
Child (16 or under)
Infant (6 or under)
|
Are you room sharing or paying single supplement? * Room Share
Single Supplement *
|
If sharing, who are you planning to share with?
|