Registration - Global Summit of Women 2012

Registration - Global Summit of Women 2012
Athens, Greece – May 31 - June 2

PAYMENT BY CREDIT CARD

This online form is for use with credit card payment only. We do accept checks, but we are not able to accept check registrations online. To pay by check, 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
     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.

ATHENS: GLOBAL SUMMIT OF WOMEN - May 31-June 2, 2012

US $800 - Corporate Rate ALL CORPORATE EMPLOYEES MUST REGISTER USING THE CORPORATE RATE

US $550 - Non-profit/Non-Governmental, Entrepreneurs and Governmental Rate

Delegation Code (Optional):

No refunds after April 30, 2012

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
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.

PERSONAL PROFILE
Women's Organization(s)      Other Women's Organization:

Professional Profile
Nature of Business           Industry
Language Preference          English               French               Greek

Dietary Restrictions Other Comment:

CANCELLATION POLICY: Notice of cancellation must be submitted in writing prior to April 30, 2012. Please email your request to summit@globewomen.com. In order to be honored, requests for refunds must be received prior to the April 30, 2012 deadline.

SUMMIT OFFICE - CONTACT INFORMATION
Mailing address: Global Summit of Women 1100 G Street, NW, Suite 700 Washington, DC 20005 USA
Tel: +1 202 835-3713 Fax: +1 202 466-6195 Email (preferred): summit@globewomen.com

Any Questions & Comments, contact GlobeWomen at summit@globewomen.com. Or, write to us:
Globewomen, Inc. * 1100 G St. NW, Ste. 700 * Washington, DC 20005 * USA

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