DELEGATE REGISTRATION FORM Full Name: Name (for name badge): Passport or Identity number University/Organization: Address: Telephone: Email: Special Dietary or Accessibility Needs:
Gender:
Nationality:
Ref No:
Male
Female
Please stick a passport size photo here.
Fax :
REGISTRATION DETAILS:
SME Aspiring SME Corporate Student Registration Fees -‐ Includes 2 day forum, lunch and coffee/tea breaks during the Forum days Full Conference Registration before 18th August 2014 ________ OMR500/-‐ Full Conference Registration with Gala dinner (Subject to availability) ________ OMR650/-‐ Please mark relevant participation. Signature: Additional comments (if applicable): Why do you want to attend a thought leadership forum? Who would you like to be a speaker in a future forum?
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PAYMENT METHOD: ADVANCE
Please remit payment by bank transfer or cheques to: Account Name: Muscat Press & Publishing House SAOG Account Number: 0335012264930017 SWIFT CODE: BMUSOMRXXXX Bank: BANK MUSCAT, HATAT HOUSE BRANCH Sender to Receiver Information: OPEN MINDS FORUM Registration Fee for (NAME OF PARTICIPANT)
OPEN MINDS – PROGRAMME SCHEDULE
A thought leadership event, featuring 10 global speakers, success icons in their own fields; created with an objective of knowledge transfer to Omani youth and young entrepreneurs/corporate heads with an inspirational tone, to Synergise, Motivate and Educate! Day 1 – Wednesday: September 3, 2014
Oman Auditorium, Al Bustan Palace Hotel
Speakers
6
8.30am-‐1pm; 2-‐5pm Lunch: 1-‐1.45pm
Day 2 – Thursday: September 4, 2014
Oman Auditorium, Al Bustan Palace Hotel
Speakers
6
8.30am-‐1pm; 2-‐5pm Lunch: 1-‐1.45pm
Limited seats
7pm onwards
Gala Dinner: Wednesday September 3, 2014
Majan Ballroom, Al Bustan Palace Hotel
Dinner
General: • .OM is a two day forum featuring various speakers and interactive sessions. • Required stationery materials, writing pads/pens will be provided • Kindly refrain from taking photographs/video during sessions • Please submit filled in form with a passport size photo scan (first page only) and retain the second page of the form in hand. Cancellation and refund policy: • Registration fees will be refunded if cancellation is received in writing no later than August 25th, 2014. After that date, registration fees are non-‐refundable. • All refunds will be processed after the conference. Please email your completed registration form with remittance of registration payment to: OPEN MINDS Forum Secretary / coordinator Email: bwevents@gmail.com Phone: 24565697
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