Register yourself.
JCI Romania National Convention 2018 | October 4-7, 2018 | Bucharest
Your name: *
Your answer
E-mail: *
Your answer
Phone no.:
Your answer
JCI Member: *
JCI Local Organization:
Your answer
JCI National Organization:
Your answer
Company:
Your answer
Role / Position / Job Title:
Your answer
Invoice request: *
Special meal request: *
Arrival date:
MM
/
DD
/
YYYY
Departure date:
MM
/
DD
/
YYYY
Registration option: *
Type 1: Early Registration (now – June 15, 2018) – EUR 95 (450 lei) | Regular Registration (June 16, 2018- September 15, 2018) – EUR 120 (550 lei) | Late Registration (September 15, 2018- October 1, 2018) – EUR 130 (600 lei) Type 2:Early Registration (now – June 15, 2018) – EUR 250 (1100 lei) | Regular Registration (June 16, 2018- September 15, 2018) – EUR 260 (1200 lei) | Late Registration (September 15, 2018- October 1, 2018) – EUR 280 (1300 lei)
Custom T-Shirt (additional cost: 50 lei | EUR 10) *
Select size:
Comments:
Your answer
I accept the conditions: *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.