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World Communication Forum Davos, Kyiv Session Kyiv, Ukraine 19-20 September, 2016 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, 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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Entry Fees
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(one-day Kyiv session)
Regular entry From 20 April 2016 Up till 13 September 2016 Last minute entry From 14 September 2016 Up till 18 September 2016
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10 000 UAH / 350 euro (before WAT) 15 000 UAH / 530 euro (before WAT) NB: No accommodation!
Book online via credit card (NB: no invoice due!) http://forumdavos2016.ticketforevent.com/
Please, claim your due 10% discount from the above-selected Early Bird, Regular entry, Last minute entry, if you are a member of UAPR, MAMI, ICC: 10% special discount for a ____ member!