Contact us: 31 Zhylyanskaya St., Kyiv 01033, Ukraine davoskyiv@agama-communications.com +38 067 447 41 05
World Communication Forum Davos, Kyiv Session Kyiv, Ukraine 4 September, 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: davoskyiv@agama-communications.com, Anastasiya Lukashevych 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
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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:
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Tel: (international code - city area - number) Mobile: (international code - city area - number) Fax: (international code - city area - number) Email:
Entry Fees
Registration Only
Type “x” in the middle of the appropriate box!
(one-day Kyiv session)
Early Bird
From 15 May 2015 Up till 25 July 2015
Regular entry
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3000 UAH/ 120 euro (before WAT) 3800 UAH / 140 euro (before WAT)
From 26 July 2015 Up till 31 August 2015
Last minute entry From 01 September 2015 Up till 04 September 2015
4000 UAH / 160 euro (before WAT) NB: No accommodation!
Book online via credit card (NB: no invoice due!)
http://forumdavos2015.ticketforevent.com/
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Contact us: 31 Zhylyanskaya St., Kyiv 01033, Ukraine davoskyiv@agama-communications.com +38 067 447 41 05
Please, claim your due 10% discount from the above-selectedEarle Bird, Regular entry, Last minute entry, if you are a member of UAPR, MAMI, EBA, ACC, ICC: 10% special discount for ____ member!
Please, claim your due 10% discount if you are buying 2 or more tickets: 10% special discount For the 2nd (+ every next) ticket from the same company/organization Registration fees INCLUDE: The respective panels, sessions, lunches and coffee breaks as per the final Forum Agenda; Participant’s portfolio: prints, booklet, note-pad, pen, badge, bag/folder. Some options - as per the above table!
Payment as Bank Transfer in case of due invoice! (ask for bank details at: davoskyiv@agama-communications.com, Anastasiya Lukashevych) (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 SE Pleon Talan, 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