Registration Form for Individuals & Non Profit Organisations (Forum & Dinner)

Please register here if you are an individual or belong to a non profit organisation
and you want to attend the Forum AND the Welcome Dinner.

The participation fee of 130 € 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

    For students: PLEASE DO NOT REGISTER HERE
    You can get a registration for free after submitting a copy of your student card at this fax number +41612051921 or at this email address: registration@glbt-business-leader-forum.org. The free registration, however, does NOT include the Welcome Dinner.

    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 (Individuals) - GLBT-I-FD

    4th International GLBT Business Leader Forum + Welcome Dinner (Individuals) - Cost EUR 130.00

    First Name:

    Last Name:

    E-Mail:

    Street:

    Postal/Zip Code:

    Please enter coupon code for discount?

    City

    State or Province/Country

    Organisation

    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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