 |
| |
|
|
|
|
REGISTRATION ONLINE
|
| |
|
|
|
|
|
|
|
Personal Information: |
| Field with asterisk (*) is a require field. |
| |
|
|
| First Name: * |
|
Last Name: *
|
| Address: * |
|
| City: |
|
|
|
|
| Zip Code: |
|
|
|
|
| Country: * |
|
| Telephone: * |
(include country code) |
| Fax: |
|
|
|
|
|
| Mobile: |
|
|
|
|
|
| E-Mail: * |
|
| Company / Organization: |
|
|
|
| Position: |
|
|
|
| |
|
| Language (Select 1 or more): * |
Spanish
French
Italian
|
| |
Simultaneous interpretation in four official languages is available in Business Session. |
| |
|
|
|
| Member of BPW International : |
|
|
| |
Young BPW (35 or younger):
|
| |
BPW Club: |
|
|
|
| |
Federation: |
|
|
|
| |
BPW Position: |
|
|
|
| |
|
|
|
| Emergency Contact: * |
|
|
| Telephone Number: * |
|
|
|
| |
|
|
|
|
|
|
|
| Registration: (Select ONE) |
| |
|
Five Days Registration 24-28 Oct 2008 (Members only) |
Early before 25 June 2008 |
Standard 25 June-16 Sept 2008 |
Late 17 Sept - 16 October 2008 |
| Opening Ceremony, regional conferences, business sessions, panels, workshops, Congress publication, Gala Dinner |
_
|
US$460 |
_ |
US$560 |
|
US$660 |
Three days Registration (non members) |
Standard Rate February - 16 Oct |
| Panels, Workshops, Gala Dinner |
|
US$360 |
|
|
|
|
| Accompanying Persons |
Standard Rate February - 16 Oct |
| Opening Ceremony, Gala Dinner |
|
US$125 |
Accompanying (specify name of 5-days registrant):
|
|
| |
|
|
|
|
|
|
|
| |
OPTIONS: |
|
| |
|
|
|
|
|
|
|
| |
TOTAL |
|
|
US Dollars |
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|