Fiche inscription GB.indd

RegistRation
3 1 st nAt i o nAl c o nf E r E n cE
o f c h r i s t i An
EntrEprEnEurs & BusinEss lEAdErs
uniApAc
mEmBEr
Register online primarily on:
www.assisesedc.org/inscription
Simple, fast, proposal of hosting
solutions, online payment
by credit card!
To register an accompanying person
(spouse or child over 17 years), photocopy
and fill out a second form to join with the
participant’s registration form.
Registration to send back before the 1st of February 2016
pArticipAnt’s informAtion
Civility: ...........................................................................................................................................................................................
Surname: ......................................................... Name: ...................................................................................................................
Year of birth: ...................................................................................................................................................................................
Society (if billing is on the name of the company): .......................................................................................................................
Email: ................................................................ Mobile phone: ....................................................................................................
Address: ........................................................................................................................................................................................
Postal Code: ..................................................... City: ...................................................................................................................
Country: ............................................................ Association: ........................................................................................................
Diet:
❏ Vegetarian
❏ Vegan
❏ You are a person with reduced mobility
❏ Without gluten
❏ Other: .................................................
❏ You need support during the Conference
WAy of trAnsport
Indicate your way of transport:
❏ Plane ❏ Train ❏ Other
(1)
(1)
In case of arrival by plane or by train, please indicate the place, date and time of your arrival:...............................................
As well as the place, date and time of your departure:.................................................................................................................
(1)
WorKshop of fridAy
Indicate your choice of workshop among the above list by preference order (1, 2 or 3)
❏ A1
❏ A2
❏ B1
❏ B2
Venturing to conduct business collectively
Venturing to conduct business individually
Venturing to overcome internal constraints
Venturing to overcome external constraints
❏ C1
❏ D1
❏ E1
❏ E2
Venturing to take and share risks
Venturing to lend an open ear and support
Venturing to put into practice Laudato Si’ - Environment
Venturing to put into practice Laudato Si’ - Human Ecology
Registration
31st National Conference of Christian Entrepreneurs & Business Leaders
Events
Indicate your participation:
❏ Dinner in family on Friday evening. The dinner is part of the spirit and conduct of the «Assises». By registering to the
family dinner, your contact details will be forwarded to the host family.
❏ Footing on Sunday morning.
Accommodation
To take advantage of hosting solutions with a negotiated rate, please visit the registration web page online:
www.assisesedc.org/inscription
You have an accommodation solution: check here
❏
Cost of registration
Report here the amount
❏ Individual
150 €
❏ Spiritual adviser
0€
❏ Lunch box for Sunday - precise the quantity (5 € /unit)
❏ Donation to the «Assises» – precise the amount:
Quantity: ..........
30 € / 50 € / 100 € / 300 € / 500 €
TOTAL
€
Way of payment
If you wish to pay by credit card, please opt for the online registration
❏ Bank transfer on the account
❏ Cheque to the order of: Live ! by GL events
Live ! by GL events
Bank references: Banque Rhône Alpes - Banque 10468 - Guichet 02353
Account number: 10563500246 - Clé 29
IBAN : FR76 1046 8023 5310 5635 0024 629 - BIC : RALPFR2G
The registration will be effective on reception of the payment of the total amount for registration.
When registered, you will receive an email of confirmation with the invoice.
Cancelation conditions: by written, before February 20, 2016. The registration fees will be paid back to you with a fee of 70€ for administrative costs.
Conditions of modification: directly on the web page or by email, up to march 1st, 2016. The modifications only accepted for workshops and activities which
have no impact on the tariff within the limits of available places.
Registration form to send to the Office of Assises with the payment to the following address:
EDC Nord Pas de Calais - 40, rue Eugène Jacquet - F-59700 MARCQ EN BAROEUL CEDEX
Phone : 03 20 99 45 12 - Email : [email protected]