2019 EFMD Advisory Seminar"Building Alumni Engagement through Social Media" Brussels, 26 November 2019Date Date Format: MM slash DD slash YYYY Personal information:Name* DrMrMrsMsProf Title First Last Job Title*Company/Institution*Address* Street Address City ZIP / Postal Code Country*AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechiaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabweRegretfully, we are not able to process your registration. Please contact firstname.lastname@example.org for further information.Email* Phone (Int'l)*Purchase OrderAffiliated to VAT ?*YesNoVAT number*My portraitPlease attach your photo in JPG format (full face portrait; 1MB max.). The photo will be added to the participants' list to facilitate networking.Accepted file types: jpg.Membership:Membership Status*EFMD Full MemberEFMD Affiliated MemberNon-memberRegistration fee:"Early Bird" This fee is applicable until 4 Octoberas EFMD Full Member Price: 600,00 € as EFMD Affiliated Member Price: 650,00 € as Non-member Price: 700,00 € VAT 21% 0,00 € TOTAL 0,00 € These fees cover attendance to the meeting, documentation, meals and refreshments, but NOT hotel accommodations.Payment method*Bank TransferCredit CardCANCELLATION POLICY: Cancellations must be confirmed in writing. If we receive notice of your withdrawal before 25 October, a cancellation administrative fee of 75€ + 21% VAT will be charged. Thereafter, we regret that we are unable to refund any fees. However, in such cases, substitutes are welcome at no extra cost as long as EFMD receives notification of the name, title and address of the substitute.Catering:I will join the dinner on Monday 25 November*YesNoI am allergic toalmondsblueberriesboletus mushroomchivesfigshazelnutsshellfishotherif 'other', please specify:*Dietary requirementsno dairy productsno fishno glutenno meatno nutsno porkno shellfishveganvegetarianotherif 'other', please specify:*General:I agree with the terms and general conditions stated on your website.* YesI declare that all the information stated above is accurate, including allergies and dietary requirements.* YesI authorise EFMD to use all information communicated within the legal framework of its activities.* YesI agree to receive an e-mail newsletter and other communication material from EFMD.* I can unsubscribe or update my preferences at any time.YesNoEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.