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World Communication Forum in Davos (WCFDavos) 09 – 11 March, 2017 Davos Congress Centre, 7270 Davos Platz, Promenade 92, Davos, Switzerland 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, +41 76 241 3224 * NB: Preferential terms for all members/clients/partners of the partner-orgs listed here! Personal information – Please type in all the requested data, as advised below! Title: -Mr. -Mrs. -Ms -Dr. -other: (please, specify) ; 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:

; ; ; ; Postcode:

; Country:

;

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

; ; ;

I’d like to use the due preferential terms as a member/client/partner of your partner-org: Organization’s name: ; Announced as an official partner of WCFDavos ‘2017: http://www.forumdavos.com/exclusive_partners; Do you need a formal invitation for obtaining a visa: Type “x” in the middle of the appropriate box

-yes;

-no

Official language of the conference: English! Contact person (if different than the participant): ; Company position: ; Company name and address: ; Phone and email: ;


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