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For details: barcelona@forumdavos.com

World Communication Forum in Davos Barcelona Regional Session - Visual Communications 23 May, 2014, Centro de Cultura Contemporanea de Barcelona 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: barcelona@forumdavos.com * Special discount for partners and clients of: http://www.forumdavos.com/reg_registration/5

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 Sex: -Male; -Female; Type “x” in the middle of the appropriate box First Name (Given) Middle Name Last (Family) Name

;

; ; ;

Organization: Position held:

; ;

I would like to use the special discount as a client/partner of: ; Postal address: City:

; ; ; Postal code:

; Country:

;

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

; ; -yes;

-no

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

For details: barcelona@forumdavos.com

Entry Fees Type “x” in the middle of the appropriate box!

Registration Only (Conference + Cocktail)

Early Bird 15 Dec, 2013 – 15 Feb, 2014 Standard 16 Feb,2014 – 1 May’14 Last minute 2 May – 20 May, 2014

200 euro 300 euro 400 euro Cocktail party is INCLUDED in this package!

Registration fees INCLUDE: The respective panels, sessions, lunch and coffee breaks as per the final Forum Agenda; Participant’s portfolio: prints, booklet, 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!

*Special discount used:

% (please, type in the middle of the box the appropriate number for the discount secured for our Partner)

Official language of the conference is English, simultaneous English-Spanish translation will be provided.

Payment as Bank Transfer in case of due invoice! (ask for bank details at: barcelona@forumdavos.com) (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 the Forum Operator Top Communication GmbH, 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 (*Please, calculate any due discount)

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 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!