Learning Journey Registration Form - Family Business Network Asia

LEARNING JOURNEY TO ITALY
11 – 16 MAY 2016

Registration

I am registering as: *Please select from the relevant options below.

Non-Members: Registration

I am registering based on *

FBN Member: Registration

I am registering based on

Profile of Participant

Name *
Email *
Phone *
Name of Family Business *

Details of Accompanying Participant (for Double Occupancy)

Name *
Email *
Phone *

Instructions for more participants

Please leave us a message if you would like to register for more people.
Message

Payment

Please select your preferred Payment Option *Enjoy €60 off if payment is by bank transfer* or cheque.

Bank Transfer and Cheque Details

Instructions €60 off for payment by bank transfer* and cheque.
Instructions for this payment method will be emailed to you shortly.
*To qualify for discount, bank transfer or TT charges (if any) shall be borne by payer.

Credit Card Details

Credit Card Number *
Card Type *
Name on Card *
Expiry Date (mm/yyyy) *
Secure Transactions Safe transactions and the protection of your privacy has always been our top priorities. FBN Asia uses SSL encryption together with a digital ID from Comodo. SSL encrypts and protects personal and credit card information that you send us. Information such as your credit card numbers, names, addresses and phone numbers that you send us are safe from the prying eyes of unauthorized third parties as it travels through the Internet. The digital ID guarantees that your transactions are taking place on our secure server and not a third-party host.

Acceptance of Terms & Conditions

Terms & Conditions *
Transfer of registration
In the event that a registered participant is not able to attend, the registration may be transferred to a substitute participant from the same family business.
Cancellations
If a registered participant needs to cancel his/her registration, the following terms will apply:
Before 11 April 2016: 50% refund
From 11 April 2016 onwards: No refund
Please note a formal written notice is required for transfer of registration and cancellation
All refunds will be processed within 30 days after the event.I have read and agree to the terms and conditions of my registration

Verification

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