Activités Registration C4I Forum 2019 Registration C4I Forum 2019 Step 1 of 3 - Personal details 33% Name* MrMrsMissMsDrProf.Rev. Prefix First Last Date of birth* Day Month Year Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone (Country code, area code, number)*Email* Dietary needs Vegetarian Gluten-free Other Specify dietary needs Passport detailsPassport Number* Issue Date Passport* Day Month Year Expiry date passport* Day Month Year Nationality* Digital copy passport*Max. file size: 64 MB.Required by the Israeli governmentVisa assistance*For some countries visa assistance is available (costs vary per country)NoYesTravel plansPlease specify your arrival date and time (if known already) Price calculationForum 2019 packageThe Forum starts with dinner on March 4 and ends after breakfast on March 9. The conference rate includes lodging, meals and conference during these days. Price is per person in Euros. Price: Room type* Single Room Double room With whom would you like to share your room Additional extras Pre-Night(s) Forum Post-Night(s) Forum Post Forum Tour (9-13 March) Specify the dates of your pre-night(s)*Please note that pre-night(s) will be invoiced separately. Specify the dates of your post-night(s)*Please note that the post-night(s) will be invoiced separately. Post Forum Tour (9-13 March)* Single Room Post Forum Tour (price: € 870) Double room Post Forum Tour (price: € 645) Total 0,00 € Payment method* Credit Card (you will receive a payment request) Bank transfer (you will receive an invoice) Cancellation charges: Until 1 January 2019: 0%, From 1 January-15 January 2019: 25%, From 15 January-1 February 2019: 40%, From 1 February 2010: 70% Confirmation of registration will be sent only after receipt of full payment. Registration is only valid when it has been confirmed by e-mail! Please note that participation in all conference activities is at your own risk. I agree to share my personal details with Christians for Israel International to enable them to arrange my participation in the Forum 2019.*Cancellation charges: Until 1 January 2019: 0%, From 1 January-15 January 2019: 25%, From 15 January-1 February 2019: 40%, From 1 February 2010: 70% Confirmation of registration will be sent only after receipt of full payment. Registration is only valid when it has been confirmed by e-mail! Please note that participation in all conference activities is at your own risk. I agree to share my personal details with Christians for Israel International to enable them to arrange my participation in the Forum 2019. I agree Δ Mots clés
