Contact us: 31 Zhylyanskaya St., Kyiv 01033, Ukraine davoskyiv@pleon.ua +38093 08 546 88
World Communication Forum Davos, Kyiv Session Kyiv, Ukraine 14 March, 2014 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@pleon.ua, Svitlana Kisilova 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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Contact us: 31 Zhylyanskaya St., Kyiv 01033, Ukraine davoskyiv@pleon.ua +38093 08 546 88
Entry Fees
Registration Only
Type “x” in the middle of the appropriate box!
(one-day Kyiv session)
Special Fee - for 2 events! WCFDavos’5 + WCFDavos|Kyiv! (one-day Kyiv session + 2-day Davos conference, 2014)
Early Bird 10th Dec – 25th Dec, 2013
Standard 26th Dec ’13 – 28th Feb ’14
Last minute 01st Mar – 13th Mar, 2014
250 euro
1050 euro
350 euro
1150 euro
450 euro
Optional Events/Offers Type “x” in the middle of the appropriate box!
Not available
Gala Dinner 14 March, 2014 100 euro
Not available! NB: No accommodation!
Book online via credit card (NB: no invoice due!) (link to be provided soon)
Please, claim your due discount from all of the above fees, if you are a member of UAPR: 10% special discount for UAPR members! Registration fees INCLUDE: The respective panels, sessions, lunches and coffee breaks as per the final Forum 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 accommodation or your flight!
Official language of the conference is English! Would you like a translation? Type “x” in the middle of appropriate box:
-yes;
-no
Payment as Bank Transfer in case of due invoice! (ask for bank details at: davoskyiv@pleon.ua, Svitlana Kisilova) (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 invoice due after event - upon my request!), I’d like SE Pleon Talan, to invoice: (Company) I hereby apply for participation and registration in the above event and accept to pay the due fees’ total amount of: Euro, in words . Euro I understand the booking is subject to the below stated Terms and Conditions! 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 before 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!