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WCFDavos|CERN session

World Communication Forum in Davos (WCFDavos) and The European Organization for Nuclear Research (CERN) CERN premises: 385 Meyrin Road, 1217 Meyrin, Geneva, Switzerland 09 March, 2015 Please, complete the form by typing in all due information, print it, and return as a scan via email. For further queries, please email us at: forum@forumdavos.com * NB! > Offer with Preferential terms for joining the WCFDavos summit on 10-11 March, 2015! Personal information – Please type in all the requested data, as advised below! Title: -Mr. -Mrs. -Ms -Dr. -other: (please, specify) Type “x” in the middle of the appropriate box Sex: -Male; -Female; Type “x” in the middle of the appropriate box First Name (Given) Middle Name Last (Family) Name

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Organization: Position held: Postal address: City:

; ; ; ; ; Postal code:

; Country:

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Tel: (international code - city area - number) Mobile: (international code - city area - number) Fax: (international code - city area - number) Email:

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I’d like to use the preferential terms for joining WCFDavos summit on 10-11 March – please, send me the due information! -yes; -no Do you need a formal invitation for obtaining a visa: Type “x” in the middle of the appropriate box

-yes;

-no

Contact person (if different than the participant): ; Company position: ; Company name and address: ; Phone and email: ;


Entry Fees

Entry for the WCFDavos|CERN session! Including: Hotel for 1 night in Geneva + Conference + Visit to CERN! For the full session day on 9 March, 2015.

Type “x” in the middle of the appropriate box!

Standard

520 euro

26 Nov’14 – 10 Jan’15

Last minute 11 Jan – 05 Mar, 2015

One-way Transfer to Davos: Optional Events/Offers

Type “x” in the middle of the appropriate box!

200 euro Only upon provided hotel data!

570 euro Special offer with PREFERENTIAL TERMS!* Join the Main WCFDavos Summit (10-11 March, 2015)! http://www.forumdavos.com/programme The Special Offer Includes: All sections, lunches and coffee breaks in the WCFDavos Conference! Participant’s portfolio: prints, booklet, note-pad, pen, badge, bag/folder. A seat at the C4F Davos Awards Gala!

Package Fee*: Forum Only 900 euro

Package Fee*: Forum + Hotel + 3-star Davos Hotel single room (BB) for 3 nights: on 9, 10, 11 March, 2015!

1400 euro

NB! > No accommodation! Book online via credit card (NB > no invoice!): http://wcfdavos-cern-2015.evenium.net Book a train: http://fahrplan.sbb.ch/bin/query.exe/en&HWAI=JS!ajax=yes!& Start point: Geneva Airport > Train destination: Genève The Registration fees INCLUDE: The respective panels, sessions, lunches and coffee breaks as per final Agenda! Some options - as per the above table! Accommodation in a 3-star hotel in Geneva (single room, BB)! * Special Offer with Preferential terms for joining the main WCFDavos summit on 10-11 March, 2015! NB! Registration fees DO NOT include any expenses related to your transfer from airport or your flight!

Official language of the conference is English! Would you like a translation? Type “x” in the middle of appropriate box:

-yes;

-no

NB: secured only upon a minimum of 20 requests received for the respective language! If yes, to what language? Type “x” in the middle of appropriate box:

Spanish;

French;

German;

Chinese;

Russian

Payment as Bank Transfer in case of due invoice! (Ask for bank details: forum@forumdavos.com) (For online booking via credit card, if no invoice is necessary, please see the link in the above table!)

For a Bank transfer as per Pro-Form Invoice issued upon receipt of this application (official invoice due after event - upon my request!), I’d like the Forum Operator Top Communication GmbH, to invoice: (Company) I hereby apply for participation and registration in the above event and accept to pay the due fees’ total amount of: Euro, in words . Euro I understand the booking is subject to the below stated terms and conditions! Booking Terms and conditions: 1. The contract is with Top Communication GmbH. 2. Any refund of fees will be made only for cancellations received in writing at least 30 days prior to the event. 3. A 25% cancellation charge is due to cover administration costs. No refund for books or printed/other materials/souvenirs. 4. No refunds will be made for cancellations received within 30 days of the event. 5. Top Communication GmbH reserves the right to alter or cancel the program. 6. Provisional bookings made by phone must be confirmed in writing. 7.

Participant’s signature: __________________________

Delete underlined space before inserting a digital signature, or print the form and sign before returning a scan via email!


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