Home MCE Form examples Workshop registration: Leadership for Senior Managers 2154 17 June 2013 - 20 June 2013, Barcelona (English) 8 July 2013 - 11 July 2013, Milan (English) 5 August 2013 - 8 August 2013, Munich (English) 19 August 2013 - 22 August 2013, Kuala Lumpur (English) 2 September 2013 - 5 September 2013, Istanbul (English) 24 September 2013 - 27 September 2013, Brussels (English) 28 October 2013 - 31 October 2013, Paris (English) 16 December 2013 - 19 December 2013, London (English) 19 January 2014 - 22 January 2014, Dubai (English) 17 February 2014 - 20 February 2014, Paris (English) 10 March 2014 - 13 March 2014, Geneva (English) 23 March 2014 - 26 March 2014, Dubai (English) Title * Mr. Mrs. Mrs. Dr. Prof. First Name * Last Name * Email Address * Direct phone number * Job title Company * Street Postal code Town Country * Select Value Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antartica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territ British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Email World Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fed. Rep. Yougoslavia Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Lao People's Democratic Rep Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriyra Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka St. Christopher St. Helena St. Lucia St. Pierre and Miquelon St. Vincent and the Grenadi Sudan Suriname Svalbard and Jan Mayan Isla Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Tokelau Tonga Trinidad and Tabago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine Unidentified Union of Myanmar United Arab Emirates United Kingdom United States Minor Outlyin United States of America Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe Invoice address (if difference) VAT number Purchase Order Number I need your assistance for my vise application (**) I will NOT attend, I am registering (a) colleague(s) only I wish to register (a) colleague(s) Please copy the following contact(s) in all your communications with me For reference, I found workshop details on on the website on my company Intranet through a colleague/manager/HR in an MCE email newsletter in an MCE brochure/catalogue on another website My registration code is Please send me my customer information pack by email fax mail other (specify) Remarks I confirm this registration and accept that the following fees will apply in case my company makes any modification (unless there is a special written agreement between my Company and MCE, which overrides this policy): If I cancel or change my registration more than 45 calendar days before the start of the workshop, there is a charge of € 150 to: Cancel my registration, or to Transfer to another workshop, or to Register another colleague in my place. If I cancel or change my registration 45 calendar days or less before the start of the workshop, the charges are as follows: 100% of the Registration Fee will apply for cancellation of attendance € 500 will be charged for transfer to another workshop € 150 will be charged to register another colleague in my place. For full details on MCE’s terms and condition, click here.