2017 ICART/IITA Registration


Register Now!!  Symposium August 17, 18, and 19, 2017

Fill out this form to confirm your participation in the conference. We would like to know if you are coming!

First Name (*required)

Sur (Last) Name (*required)

Job Title

Organization

Mobile Number

Email (*required)

Arrival Date (year-month-day)

Departure Date (year-month-day)

I will participate in (choose all that apply)
 Symposium (Thurs. Aug 17)
 Symposium (Fri. Aug 18)
 Writing Workshop (Fri. Aug 18)
 Symposium (Sat. Aug 19)

Do you need a visa invitation letter duly signed by the mayor of Bukavu for your visa application?
If yes, please send a copy of the photo page of your passport to: icart-enroll@umich.edu
 Yes
 No

Do you need an ‘engagement de prise en charge’ (yellow form) from the migration services in DRC for your visa application? This is now a requirement for USA people to obtain a Visa to DRC. The fee is $110USD.
 Yes
 No

If yes, please fill out the following:
Street
Commune
City
Country

If you would like us to make a reservation for your hotel, please indicate your preferences below. Hotel and catering are at your own expense.
First Choice
Second Choice

Upon arrival at Bukavu or Kamembe (Rwanda) airport, would you like us to send a driver to pick you up?
 Yes
 No

On the conference days in Bukavu, we can pick you up and drop you off at your hotel at the start and end of each day. Would you like to use this service?
 Yes
 No

If yes, please fill out the details below, if you have the information:
Hotel
Address