“Communication on Top” Forum
Davos Congress Centre, 7270 Davos Platz, Promenade 92, Davos, Switzerland
9 – 10 February, 2012
Please type to complete and print to return as a scan by email sent to the Forum Secretariat.For further queries, please call: +41 435 000 683 ext. 219, or email us at:
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: ;
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: -yes; -no
Type “x” in the middle of the appropriate box
Contact person (if different than the participant):
;
Company position:
;
Company name and address:
;
Phone and email:
;
Forum fees:Please, type “x” in the middle of the appropriate box! / Registration only*
(forum sessions and breaks) / Package*
(+ 3-star hotel)
bed in a shared double room / Full Package*
(+ 3-star hotel and transfer)
(+ provided evening options)
bed in a shared double room
Early Bird
From 1st Sept 2011
Up till 15th Oct 2011 / 890 euro / 1230 euro / 1650 euro
Standard
From 16th Oct 2011
Up till 30th Dec 2011 / 1010 euro / 1320 euro / 1750 euro
Last minute
From 1st Jan 2012
Up till 1st Feb 2012 / 1120 euro / 1450 euro / 1920 euro
Optional:
Please, type “x” in the middle of the appropriate box! / NB: No accommodation! / Single room, 3 nights: 8, 9, 10 Feb’12 - 90 euro
Welcome Party, 8th Feb 2012 - 60 euro
C4F Gala Dinner, 9th Feb 2012 - 150 euro
Closing Buffet, 10th Feb 2012 - 60 euro / NB: All 3 options are included in the Full Package price!
* All fees INCLUDE: Plenary and section sessions listed in the Forum program, lunches and coffee breaks as per program schedule, and a full Participant’s portfolio, including – program, booklet, note-pad, list of attending participants, pen, badge, bag/folder, interpretation.
Registration only and Package fee EXCLUDE Welcome party, C4F Gala, and Closing Buffet – select in order to attend!
NB: Registration only DOES NOT include hotel, flight, transfer! Package fee DOES NOT include flight and transfer!
NB: The 2 Package Fees include accommodation in a shared double room – for a single room, please select the due option!
Official language – English
Would you like a translation? Type “x” in the middle of the appropriate box: -yes; -no
If yes, to what language? Type “x” in the middle of the appropriate box:
Spanish; French; German; Chinese; Russian
Payment method: type “x” in the middle of the appropriate box:
-Bank Transfer (please, email us to request our bank details!) ; -Pay Pal
I understand the booking is subject to the below stated terms and conditions. I would like Top Communication GmbH to invoice: (company name)
For (total): Euro – in words: . Euro;
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 will be made to cover administration costs. No refund is made for books and printed or other materials and 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 lines before inserting a digital signature or print the form and sign before returning the scan via email!
For accommodation and transfer queries, please refer to our partners in Davos Kloster Destinations: http://www.davos.ch/en/summer/services/contact.html
Davos Klosters: Tel.+41(0)814152121; Tel. +41(0)814102020