I would like to register* as follows:

STANDARD RATES

0123456789 x Member rate (EUR 320,00)

0123456789 x Non-Member rate (EUR 370,00)

SPECIAL RATE FOR EUCONSULT ITALIA MEMBERS

0123456789 x Special EUConsult Italia member rate (EUR 270,00)

SPECIAL RATE FOR MDN AND PHILANTHROPY IMPACT MEMBERS

0123456789 x Special MDN and PI member rate (EUR 320,00)

Please provide the following number of participants with vegetarian meals:

0123456789 x vegetarian (with fish)

0123456789 x vegetarian (no fish)

Hotel accommodation (not included in workshop fee) – see workshop information for details on hotels

I have the following request/special requirement:

Name of Participant:

Email of Participant:

Additional participant/s (attending workshop):

Company:

Address (only required for non-members):

Country:

I wish to register the above for the Spring Workshop

* Name:

* Email:

* Date:

[ A copy of this form will be sent to you by e-mail. ]

* The Workshop fee rates do not include hotel accommodation, but are all-inclusive for the opening sessions, social impact visit, drinks and dinner on Thursday, 7 March, and the workshop sessions (including lunch and refreshments) on Friday, 8 March.

You will be billed and sent joining instructions once we receive your registration - please register early!

Conference registration deadline: 28 February 2019