Registration Form for Corporations (Forum & Dinner)

Please register here if you belong to a corporation
and you want to attend the Forum AND the Welcome Dinner.

The participation fee of 250 € includes:

June 9

  • Welcome cocktail at 19:00
  • Dinner & beverages

    • June 10

  • Registration to the Forum
  • Participants materials
  • Participation to the break-out sessions
  • 2 coffee breaks
  • 1 lunch break
  • Due taxes

    • Please fill in all the required information in the form below

    After the registration process you can pay through PayPal. If you decide not to pay through PayPal please wire the due amount to following bank account:

    IBAN: DE23371600870522041009

    BIC: GENODED1CGN

    We have secured a special rate from the Radisson Blu Hotel in Rome. A limited number of rooms is available at the rate of 190 € (single room)/215 € (double room) per night. Follow this link for your hotel reservation: Hotel Booking.

    Event Registration for 4th International GLBT Business Leader Forum + Welcome Dinner (Corporations) - GLBT-C-FD

    4th International GLBT Business Leader Forum + Welcome Dinner (Corporations) - Cost EUR 250.00

    First Name:

    Last Name:

    E-Mail:

    Please enter coupon code for discount?

    Company Name

    Company Address

    City

    Postal Code

    State or Province/Country

    VAT Number (if you need an invoice)

    Contact person for Invoicing

    Breakout Sessions 11:00 - 12:30

    Breakout Sessions 13:30 - 14:30

    Enter the security code as it is shown (required):

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