Registration

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Salutation *
First Name *
Last Name *
Company *
Position
Address 1
Address 2
City
State/Province/County
Country *
Phone *
Mobile
Fax
Email *
Name of the Assistant
Assistant's Email
Assistant's Phone
Arrival Information [?]
Departure Information [?]

Additional Accommodation
Please advise if you wish to stay pre or post conference. We will be pleased to book additional accommodation at a rate of £200 + VAT room only per night.

May 8, 2010
May 11, 2010
May 12, 2010
Other nights (please specify):

Dietary Requirements
Other Requirements
I agree to Terms and Conditions

Cost is £5,950.00 or US$10,000 + VAT which includes the symposium, all meals, accommodation and conference materials. Additional nights will be charged at £200 + VAT room only.

An invoice will be emailed to you upon confirmation of your registration.

Merryck & co.

Business Mentoring for CEOs, by CEOs

Registration

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