REGISTRATION FORM

Please complete this form and return to Iya Savchenko at the address overleaf.

Personal details (Please attach your business card or write in block capitals)
Name
Family name
Сountry
Company
Position
Address
Tel / Fax
E-mail
Special requirements
I wish to register as a participant of the Conference and pay the following fee:
(Please, tick the relevant box)
Registration fees received: / On or before
30 September / After
30 September / On the
conference
UBA member / □€ 340 / □€ 380 / □€ 470
Non-member* / □€ 380 / □€ 430 / □€ 470
Students (first degree) / □€ 190 / □€ 260 / □€ 470
Academics / judges (full time) / □€ 260 / □€ 310 / □€ 470
Social functions / Number of tickets
15November / Gala dinner / €40 x ______tickets
amount payable €
*join the UBA today and register for this conference at the Uba member rate.
Please find the membership application form at
Full payment must be received in order to process your registration
Payment details
 / Please send me an Invoice.
 / I paid the total amount through the UBA web-site a credit card.
Where did you first hear about this conference?
UBA web-site /  other conference /  direct mail /  internet
 e-mail /  advertisement / recommendation / other
I am interested in Kiev sightseeing tour on Saturday17November at extra charge (by cash)  Yes  No
Please provide further details (if applicable)
UBA listings are not provided to relevant third parties for marketing purposes. The UBA will treat your personal information with the utmost respect and in accordance with the law.
If you are agreeable to receive UBA mailings, please tick this box 
If you do not wish to receive UBA information and materials, please tick this box  
Your details will however be included in the list of participants, circulated at the conference and displayed within the delegate search of the UBA website.
Please send the completed form to:
Iya Savchenko
Ukrainian Bar Association
5 Mezhigirska street, office 15, Kiev 04071, Ukraine
Tel/fax +380 (44) 492-88-48
E-mail: Website: