Application Form LIO Online 2021 (module I)
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Name and surname *
City *
Country *
Organization *
Industry *
Position in the company *
Contact details
Phone *
Mail *
Assistant name
Assistant phone
How did you learn about the program? *
What interests you about the program?
Are you a member of any REF or OutObox group? ONLY FOR EXECUTIVE FORUMS MEMBERS *
Name of Forum Leader/ Business Partner? ONLY FOR EXECUTIVE FORUMS MEMBERS
If you belong to a Company, indicate if your registration is individual or group. If it is a group, please indicate which Company and from which group (ONLY FOR COMPANIES GROUPS).
What is your field of study? ONLY FOR CHILDREN OF PARTICIPANTS
Terms & Conditions: Registration is confirmed once 100% of the payment has been received. Payment method: bank transfer. Cancellation policy: 50% up to 15 days before the event. After that period, “refunds will not be possible”. The organization reserves the right to cancel the program due to low enrollment or modify the program due to unforeseen circumstances. Limited spots available!! *
Required
Thank You!
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