2024 Conference Registration First Name * Last Name * CONTACT INFORMATION: Email Address * Phone Number * Country * Charges * Primary Attendee ($800) * 1 Person I would like to register additional person(s) for the conference. 1 Additional Person2 Additional People3 Additional People4 Additional People5 Additional People Partner ($500) 1 Person Additional Attendee/s ($800) 1 Person2 People3 People4 People PLEASE NOTE THAT EACH REGISTRANT MUST SUPPLY THEIR UNIQUE EMAIL ADDRESS IN ORDER TO BE REGISTERED. A GROUP EMAIL WILL NOT WORK FOR INDIVIDUAL REGISTRATION. Please list name(s) & Email address(es) of each Registrant(s) below (if applicable) Partner Name Partner Email Additional Attendee 1 Name Additional Attendee 1 Email Address Additional Attendee 2 Name Additional Attendee 2 Email Address Additional Attendee 3 Name Additional Attendee 3 Email Address Additional Attendee 4 Name Additional Attendee 4 Email Address Total to transfer to bank (Please include bank costs in your payment!) * BANK: Maduro & Curiel’s Bank Curacao ACCOUNT NAME: CAO, Organizing Committee 2024 Event ACCOUNT NUMBER: 34922104 SWIFT (BIC) CODE: MCBKCWCU Message (optional) Once payment has been made, please forward evidence of payment ( receipt, email, picture of screen etc) ) to [email protected] as soon as possible. If you are human, leave this field blank. Submit
