PAYMENT BY CHECK
We are not able to accept check registrations online.
Click here to pay by
credit card (online). To
pay by check, please print this registration form and mail it with your
check to the address below.
For faster service, your may fax us a
copy of your completed registration form with a copy of your check. Mail
the originals of both the registration form and your check to the address
below.
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)
Fax
E-mail
Re-Enter E-mail
REGISTRATION FEE
REQUIRED FIELD
We cannot process your registration without payment either
by credit card or bank check.
US $700 - Corporate Rate
IF YOU ARE A CORPORATE EMPLOYEE, YOU MUST REGISTER USING THE
CORPORATE RATE.
US
$500 -
Non-profit/Non-Governmental, Entrepreneurs and Governmental Rate
Delegation Code:
No refunds after April 7, 2011
METHOD OF PAYMENT
REQUIRED FIELD
Credit
Card
Bank Check (in
U.S. dollars only ) made payable to: Global Summit of Women/WREI
-
PERSONAL PROFILE Associations - Women's Organization(s)
None
AED
AIWF
AMEAC
AWWSOM - Afghanistan
BPW International
CAWE
EWMD
EVE-olution
GEWEL
GFJW
GWIIN
Institute for Womens Leadership
National Estates
NAWBO
Soroptimist
TIAW
WBENC
WEN Mongolia
WBC Singapore
WPO
United Business Center of Mongolian Women
Other Women's Organization:
Select
Entrepreneur
Academic Institute
Corporate
Goverment
NGO - Non-governmental Organization
Professional Association
Other
Industry
Select
Agriculture
Communications
Construction
Financial Services
Food and Beverage
Information Technology
Manufacturing
Mining
Pharmaceuticals
Transportation
Tourism
Wholesale/Retail Trade
Other
Language Preference
English
French
Spanish
Dietary Restrictions
No Restrictions
Vegetarian/ No Meat
No Alcohol
Vegetarian and No Alcohol
Other Comment:
CANCELLATION POLICY: Notice of cancellation must be submitted in
writing prior to April 8, 2011. Please email your
request to
summit@globewomen.com. In order to be honored,
requests for refunds must be received prior to the April 8, 2011 deadline.
SUMMIT OFFICE -
CONTACT INFORMATION Mailing address: Global Summit of Women
1100 G Street, NW, Suite 700 Washington, DC 20005 USA
