2

Click here to load reader

Caribbean Worklife Balance Makeup Conference & Show_Registration Form

Embed Size (px)

Citation preview

Location: Bridgetown, BarbadosDates: Saturday, August 16, 2014Schedule:08:00 14:00 hrs

REGISTRATION FEESEarly bird Until July 31st, 2014 US$150.00Regular From August 1, 2014 US$250.00Early bird (without meals) US$100.00Regular (without meals) US$200.00

Global Expert Systems Inc. welcomes sponsorship enquiries.For information about co-sponsorship, corporate rates or exhibiting at this eventplease contact Global Expert Systems at +1 246 271 7438PLEASE REGISTER IN ADVANCE WITH PAYMENT- SPACE AT EVENTS IS LIMITEDTo register: Send a completed form in .pdf to email: [email protected] or [email protected]

1 | Page

Registration Form Delegate or Exhibitor Information(Please fill out the form below in order to receive an invoice. For group please attach list with names and emails.)

Full Name

Email(s)

Address

Street #District

CityParishCountry

Mobile

Home PhoneBusiness Phone

Job Title

Professional Affiliation/Membership

YesNoNAME HERE

Membership ID #Which Chapter?

Company Information(Please fill out this section if sponsored by your company)

Company Name

Email(s)

AddressDistrict

CityParishCountry

Department

Contact PersonTelephone

Contact Person Email

Course/Event Information

Booth #

Investment Amount

Payment by credit card- Visa/MasterCard(Circle)( )( )( )( )CIV______Expiry date: Month _____ Year 20____

Form of payment CheckInstalments

Special observation Make cheques payable to Global Expert Systems Inc. Mail to: Unit 2, 78 Rose Drive, Wanstead Heights, St. Michael, Barbados Written cancellation accepted up to five business days preceding the event and subject to US$ 100.00 administrative fee. For more information call Global Expert Systems at 1 246 271 7438 Visit us online at www.globalexpertsystems.org

Credit Card &/or Registration Authorization(Please sign and returned scanned copy)

Name of registrant or representative

Signed by registrant or representative