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European Session of World Communication Forum, Davos: “Communication on Top” WCF-Davos|Prague 04 October, 2013, Novotel Praha Wenceslas Square, Prague, Czech Republic Please type to complete and print to return as a scan by email sent to the Forum Secretariat. For further queries, please call: +359 884 435044, or email us at: partners@forumdavos.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

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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: Do you need a formal invitation for obtaining a visa: Type “x” in the middle of the appropriate box

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Contact person (if different than the participant): ; Company position: ; Company name and address: ; Phone and email: ;


Entry Fees Please, type “x” in the middle of the appropriate box!

Standard 15 June’2013 – 01 Sept’2013

Last minute 02 Sept’2013 – 01 Oct’2013

Optional Events/Offers Please, type “x” in the middle of the appropriate box!

Registration Only

Package Fee

(conference )

(+ 4* hotel for 2 nights + transfer!)

320 euro

590 euro

400 euro

670 euro

NB: No accommodation!

Accommodation in a single room.

Welcome Party, Novotel Praha, 3rd Oct, 2013, 19:00 (7 pm) 40 euro Gala Dinner in Prague on 4th Oct, 2013, 19:00 (7 pm) 120 euro

All fees INCLUDE: Plenary panels and sessions listed in the final WCF-Regional program, lunches and coffee breaks as per program, and a full Participant’s portfolio: program/booklet, note-pad, pen, badge, bag/folder, interpretation. Registration only & Package fee DO NOT INCLUDE: Gala Dinner in Prague > please, select, in order to attend! NB! Registration only DOES NOT include hotel, flight, and transfer! Package fee DOES NOT include flight!

Official language – English Would you like a translation? Type “x” in the middle of the appropriate box:

-yes;

-no

If yes, to what language? Type “x” in the middle of the appropriate box: Czech; French; German; Russian Payment method: type “x” in the middle of the appropriate box: -Bank Transfer (please, email us to request our bank details!) - Credit card > only online! > Please, register here: http://wcf-davos-prague.evenium.net I understand the booking is subject to the below stated terms and conditions. I would like Top Communication GmbH to invoice: (company name) For (total): Euro – i.e. in words: . Euro Booking Terms and conditions: 1. The contract is with Top Communication GmbH. 2. Any refund of fees will be made only for cancellations received in writing at least 30 days prior to the event. 3. A 25% cancellation charge is due to cover administration costs. No refund for books or printed/other materials/souvenirs. 4. No refunds will be made for cancellations received within 30 days of the event. 5. Top Communication GmbH reserves the right to alter or cancel the program. 6. Provisional bookings made by phone must be confirmed in writing.

Participant’s signature: __________________________


Delete underlined space before inserting a digital signature, or print the form and sign before returning a scan via email! Hotel accommodation: http://www.novotel.com/gb/hotel-3194-novotel-praha-wenceslas-square/location.shtml

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