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Fund Forum Latin America 2009
This document is a priority booking form for the Fund Forum Latin America 2009 conference in Sao Paulo, Brazil from September 15-17, 2009. It provides early bird discounted package rates for 3-day, 2-day, and 1-day attendance. The form requests contact information for up to 3 delegates and their job titles and companies. Payment options including credit card, invoice, and bank transfer are listed. Cancellation policies that provide refunds for cancellations received 4 weeks or more before the event but no refunds less than 2 weeks before are also stated.
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Fund Forum Latin America 2009
- 1. PRIORITY BOOKING FORM BOOKING CONTACT…….……………………………HIS/HER JOB TITLE............................................ To: Fund Forum Latin America 2009 Administrator Fax: +44 (0) 20 7017 7807 DELEGATE 2 NAME.............................................................………………………………… ……………. Alternatively, please return this form to: FundForum Latin America, ICBI, 8th Floor, 29 JOBTITLE....……...………………...................................…….DEPT……………………………….……… Bressenden Place, London SW1E 5DR, UK, Tel: +44 (0) 20 7017 7200 Email: info@icbi.co.uk Web: www.icbi-fundforumlatam.com DIRECT PHONE..………………………………MOBILE NUMBER……………………………………. Inscreva-se agora 1.Telefone: +55 11 30176888; 2. Enviar para: Rua Bela Cintra 967 - 11º and. - cj. 111 São Paulo - SP cep: 01415-000 BRAZIL 3. Fax: +55 11 30176918 4. Email: DIRECT FAX..………………………………………EMAIL……………………………………………… fundforumlatam@informagroup.com.br 5. Website: www.informagroup.com.br/fundforum By giving my email address I am giving IIR companies permission to contact me by email about future events and Venue: Caesar Business Hotel, Faria Lima, Sao Paulo, Brazil services. Dates: 15-17 September 2009 DELEGATE 3 NAME.............................................................………………………………… ……………. DELEGATE 1 NAME.............................................................………………………………… ……………. JOBTITLE....……...………………...................................…….DEPT……………………………….……… JOBTITLE....……...………………...................................…….DEPT……………………………….……… DIRECT PHONE..………………………………MOBILE NUMBER……………………………………. DIRECT PHONE..………………………………MOBILE NUMBER……………………………………. DIRECT FAX..………………………………………EMAIL……………………………………………… By giving my email address I am giving IIR companies permission to contact me by email about future events and DIRECT FAX..………………………………………EMAIL……………………………………………… services. By giving my email address I am giving IIR companies permission to contact me by email about future events and services. COMPANY..…………………..................................................………………………………………………. I REPORT TO........................................................................………………………………………………… ADDRESS......................................................................................................................................…………… HIS/HER JOB TITLE................................................................……………………………………………… COMPANY TEL…............................................……....FAX………………………………………………… PLEASE SELECT YOUR EARLY DATES BOOK BY SAVE BOOK BY SAVE BOOK BY SAVE BIRD PACKAGE 5th June 2009 10th July 2009 14th August 2009 3 DAY PACKAGE: Conference + Brazil Summit 15-17 Sept 2009 $3298 $600 $3398 $500 $3598 $300 2 DAY PACKAGE: $1999 $300 $2099 $200 $2199 $100 Conference only 16-17 September 2009 1 DAY PACKAGE: $1399 $200 $1399 $200 $1499 $100 Brazil Summit only 15 Sept 2009 3 MEANS OF PAYMENT- KR2213 Please use this form as our request for payment. Your participation is guaranteed only when full payment has been received. Please tick one: Please debit my: VISA AMERICAN EXPRESS EUROCARD MASTERCARD Card number: CVV Number (3 digit security code on the reverse of card, 4 digits for AMEX ) Exp Date_____________________ With the sum of $_________________________ Card holder’s name________________________ Signature_______________________________ Please send me an invoice BY BANK TRANSFER- Bank Transfer: Full details of bank transfer options will be given with your invoice on registration Cancellations: Should you be unable to attend, a substitute is always welcome at no extra charge. A full refund, less a service charge of 10%, is given for cancellations received in writing (letter or fax) four weeks prior to the conference. A 50% refund will be sent for cancellations received two weeks prior to the conference. Regrettably, no refunds can be made for cancellations received less than two weeks prior to the conference but a substitute delegate is always welcome. Data Protection - The personal information shown on this form, and/or provided by you, will be held on a database and may be shared with other companies in the Informa Group in the UK and internationally. If you do not wish your details to be available to other companies in the Informa Group please contact the Database Manager at the above address, Tel +44 (0)20 7017 7077, Fax +44 (0)20 7017 7828 or email: integrity@iirltd.co.uk. Occasionally your details may be obtained from, or made available to, external companies who wish to communicate with you offers related to your business activities. If you do not wish to receive these offers, please tick the box