Fiche inscription GB.indd
Transcription
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]