Application Form - Everllence

Seminar Registration for

Company Name *

First Name *

Last Name *

Phone *

Fax

Job Title *

E-Mail *

Company Address

Street *

Postal Code *

City *

Country *

Invoice Address (if different from Company Address)

Street

Postal Code

City

Ref. or PO#

Organizational Issues

Special Food Requirements (please specify)

Visa Application

Yes, I need an invitation letter for my visa application.

In case you need an invitation letter, please make sure to hand in following documents: scan of passport, travel details (arrival / departure date). Send your documents to cts.zrh@man-es.com.

Payment

Fee (please specify currency) *

CHF 3’100.00 EUR 3’150.00 USD 3’150.00

Payment Conditions *

I agree with the following terms of payment. Payment is to be effected after receipt of our payment link, prior to the seminar, by credit card. In the event of a cancellation by Friday, 10 May 2024, no cancellation fee will be charged. After that date we are pleased to welcome a replacement. A cancellation without nominating a substitute will incur a fee of CHF 1’000.00.

If payment by credit card is not possible due to company or country restrictions, please contact us at cts.zrh@man-es.com.

Privacy Agreement

Privacy Agreement *

By providing your personal information, you agree to our Data Protection Policy and consent to the collection, processing, and storage of your data in accordance with the terms outlined therein.