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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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