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Contact us: Tel: +7-495-988-7175 129090, Russia, Moscow, “B. Suharevskaya” Square, house 9 moscow@forumdavos.com

World Communication Forum Davos, Moscow Regional Session Moscow, Russia 10-11 April, 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: moscow@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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