Registration

Please provide information below.

Yes I would like to attend the 2010 Global Forum June 26-28, Cape Town South Africa*

Yes, I would like to bring an accompanying executive. Please send me more information.
Salutation
*First Name
*Last Name
*Title
*Company

Mailing Address

Address 1
Address 2
Address 3
City
State
Postal Code
Country
*Email Address
Telephone
Fax
Assistant's Name
Assistant's Email
Assistant's Phone
Company Website URL
Estimated Annual Revenue in USD
Industry
Number of Employees
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Additional Comments

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*The participation fee of US US$5,000 includes the complete program, scheduled activities and conference materials. Spouses are also invited to join for an exclusive program for no additional fee. Participants are responsible for their own travel and hotel charges. The staff for the forum will provide information about accommodations.

Participation is subject to Fortune's approval. You will receive a confirmation e-mail upon approval of your application.

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