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World Communication Forum Geneva Week 13 – 17 March, 2017 Block Entries: Your Own Choice on a Global way! 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 WCFA members + for clients/contacts of the partner-orgs listed here! Personal information – Please type in all the requested data, as advised below! Title: -Mr. -Mrs. -Ms ; 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: ; Official language of the conference: English! Do you need a formal invitation for obtaining a visa: Type “x” in the middle of the appropriate box BLOCK ENTRY + Payment Deadline Type “x” in the middle of the appropriate box!

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Automotive Show, 13 Mar'2017 NB! Welcome party: NOT included!

UN / Global Comms, 14 Mar'2017 NB! C4F Gala: NOT included!

UN / Corporate Comms 15 Mar'2017 CERN, Geneva, 16 Mar'2017 NB! Transfer to/from venue: NOT included!

GLION Institute, 17 Mar'2017 NB! Transfer to/from venue: NOT included!

C4F Gala Ceremony & Dinner 14 Mar'2017 Transfer Geneva-CERN-Geneva 16 Mar'2017 Transfer Geneva-GLION-Geneva 17 Mar'2017 Optional Offer

-yes;

By 1st Jan, 2017 (Standard)

-no By 1st Mar, 2017 (Late)

By 10th Mar’2017 (Last minute)

300 CHF*

350 CHF*

400 CHF*

500 CHF*

500 CHF*

600 CHF*

500 CHF*

500 CHF*

600 CHF*

400 CHF*

500 CHF*

600 CHF*

350 CHF*

400 CHF*

450 CHF*

250 CHF*

250 CHF*

250 CHF*

50 CHF*

50 CHF*

50 CHF*

120 CHF*

120 CHF*

120 CHF*

BOOK ONLINE, via your credit card (NB > no invoice!): here

Registration fees INCLUDE: The respective panels, sessions, lunches and coffee breaks as per the final agenda; Participant’s portfolio: prints, booklet, note-pad, pen, badge, bag/folder. Some options - as per the above table! NB! Registration fees DO NOT include any expenses related to your hotel, flight or transfer from/to airport! * Discount for: WCFA members + clients/employees/contacts of all WCF-Geneva-week’2017 partner-orgs listed here!

As a member/client/partner of a partner-org, I’d like to use the discount for the selected entry: % discount, as stated by the administration of the relevant partner-organization: Organization’s name: ;


For Invoice required – Bank Transfer Payment! (Request bank details: forum@forumdavos.com) (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 tax invoice to be provide after event only upon my request!), I’d like the World Communication Forum Geneva Week to invoice: (Company) I hereby apply for participation and registration in the above event and accept to pay the due fees’ total amount of: CHF, in words CHF I understand the booking is subject to the below stated terms and conditions! Booking Terms and conditions: 1. 2. 3. 4. 5. 6.

Any refund of fees will be made only for cancellations received in writing at least 20 days prior to the WCF-week’2017. A 25% cancellation charge is due to cover administration costs. No refund for books or printed/other materials/souvenirs. No refunds will be made for cancellations received within 20 days until the WCF-week’2017. Top Communication GmbH reserves the right to alter or cancel the program. Provisional bookings made by phone must be confirmed in writing. Please, note: VAT is not included in the above-stated prices!

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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