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Member Rate (Pay Now via credit card) - $2,500.00
Non-Europe Program Member (Pay Now via credit card) - $5,000.00
Accompanying Participant
Pay via Wire Transfer (***preference is for payment via credit card***)
First Name
Last Name
Email Address
Company
Job Title
Mobile Phone
Where are you based?
U.S. based
Locally based
Preference will be given to U.S.-based personnel
Which cities will you join us for?
London
Manchester
Will you need a hotel room in London?
Yes
No
We will organize a group rate at the Taj St. James
Will you need a hotel room in Manchester?
Yes
No
Group rate hotel TBD
Dietary Restrictions
Advocacy Priorities / Suggested Additional Meeting Targets
Insert a short bio
(Optional - this may be shared with some of our meeting partners)
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