Registration - Legacies of Women 2010
PAYMENT BY
CREDIT CARD
This online form is for use with credit
card payment only . We are
do accept checks, but we are not able to accept check registrations online.
To
pay by check in US dollars, you will need to print the registration form and mail it
with your check to our office. Click here to pay by
check .
REGISTRANT INFORMATION
REQUIRED FIELDS
Ms.
Mrs.
Dr.
Mr.
First Name
Last Name
Title/Position
Company
Mailing Address1
Mailing Address2
INCLUDE CITY, STATE, ZIP CODE Country
Tel (include country code)
Fa x
E-mail
Re-Enter E-mail
METHOD OF PAYMENT
REQUIRED FIELD
Credit
Card Note:
All credit card charges will be
processed by WREI
Pay by Bank Check
(note: this process
cannot be completed online)
CREDIT CARD PAYMENT
Cardholder Name
Card Type
Select
American Express
Mastercard
Visa
Account Number
Expiration Date (Month/ Year)
Signature of Cardholder
Important Note: The Global Summit of Women is a non-profit
program whose fiscal agent is WREI (Women's Research and Education
Institute) (USA). All credit card charges will be processed
by WREI.
CANCELLATION POLICY: Notice of cancellation must be
submitted in writing prior to April 20, 2010. Please email
your request to
summit@globewomen.com. In order to be honored,
requests for refunds must be received prior to the April 20, 2010
deadline.
SUMMIT OFFICE -
CONTACT INFORMATION Mailing address: Global Summit of Women
1100 G Street, NW, Suite 700 Washington, DC 20005 USA
