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Contact us: session@forumdavos.com

World Communication Forum Davos Innsbruck-Igls Regional Session Tyrol, Austria 3-5 October, 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: session@forumdavos.com 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

; ; ;

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: 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: ;


Contact us: session@forumdavos.com

Entry Fees

Registration ONLY!

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

WCFDavos session: Innsbruck-Igls, Austria (1-dayconference)

Early Bird 19.06.2015 – 31.07.2015

Standard 01.08.2015 – 30.09.2015

Fee for WCFA members ONLY! 19.06.2015 – 15.07.2015 Limited offer: 20 tickets!

777 euro

Cultural, Business & Nature Tourism Program ONLY! (Innsbruck-Igls) (2-day tourism program)

Special Fee - for 3 days! WCFDavos|Innsbruck-Igls + Cultural Business & Nature Tourism Program! (1-dayconference + 2-day tourism program)

210 euro

(933 euro with VAT)

888 euro

(252 with VAT)

900 euro (1080 euro with VAT)

210 euro

(1066 euro with VAT)

550 euro

(252 euro with VAT)

1000 euro (1200 euro with VAT)

210 euro

(660 euro with VAT)

(252 euro with VAT)

700 euro (840 euro with VAT)

Additional booking & payment of: accommodation or transfer from/to airport!

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

- request for booking a hotel at discount rates (info to be provided via email) - request for booking a 15-min Taxi-transfer (info to be provided via email) - Book online via credit card (NB: no invoice due!): click here

Registration fees INCLUDE: The respective panels, sessions, lunches, and coffee breaks as per Final Agenda; Participant’s portfolio: prints, booklet, note-pad, pen, badge and folder. NB! The above fees DO NOT include any optional events/services, accommodation, flight or transfer! * Optional: Please send an email request, if you wish to book a hotel at a discount rate!

NB! Claim your due 200 euros discount from the above-selected Early Bird or Standard fee, if you are a representative of a private equity fund or a bank family office (specify which one): -200 euro special discount for private equity funds and bank family offices! Name of Org: . Official language of the conference is English! Would you like a translation? Type “x” in the middle of appropriate box:

-yes;

-no

Payment as Bank Transfer in case of due invoice! (Ask for bank details at: viktor-victoria@chello.at ) (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 to invoice: (Company) I hereby apply for participation in the above event and accept to pay the due fee’s 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 Viktor & Victoria Investment Management 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 before the event. 5. Viktor & Victoria Investment Management GmbH reserves the right to alter the program. 6. Provisional bookings made by phone must be confirmed in writing.

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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