REGISTRATION FORM - 12th Annual Congress
with conference and thematic workshops
Prague, 17th – 18th May 2012
Please fill in and send to:
EWLA - Iva Jermanova, representative of the Czech Republic in Board of EWLA
Tel.: +420 602 240 542, e-mail: iva.jermanova@akjermanova.com
Personal information:
? I do not agree to have my name in the list of participants
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Surname:
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First name(s):
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Date of birth:
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Function:
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Firm/Organisation
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Street Address:
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City:
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Postal code:
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Country:
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Telephone:
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EMAIL:
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EWLA membership
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? YES
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? NO
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? NO, but with interest to become a member
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Workshops I wish to participate: (please tick the appropriate workshop you selected- each participant may select 1 topic in each workshop)
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Workshop 1.
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Topic
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W 1/1 Business Law
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Quotas for women on company boards
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W 1/2 Family Law
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Children’s rights in the context of EU and International Law
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W1/3 Human Rights
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Human Trafficking
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Workshop 2.
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W2/1 Business Law
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Age Discrimantion of Women in Labour Relations
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W2/2 Profesional Women Lives
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Women and Time and Life Management
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W2/3 Human Rights
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Domestic Violence
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Congress feeS (please check the appropriate box(es)):
? 75€ - Thursday 17 May 2012 - Introductory briefing
? 90€ - Friday 18 May 2012 - Summary network meeting with gala dinner
? additional 90€ fee for partner/friend Friday night 18 May 2012 (gala dinner)
Your registration will be confirmed after the payment is received.
PAYMENT ? BANK TRANSFER
Account number: 630-0236416-86
Bank: ING – Place Poelaert 1 – 1000 Brussels - Belgium
Swift Code: BBRUBEBB IBAN: BE78630023641686
Reference: EWLA Congress Prague – Last Name – First name - Country
You will obtain receipt for your payment during registration for conference on 18 May 2012!
Cancelation:
Cancellations must be notified in writing (e-mail is acceptable) to EWLA Iva Jermanova, representative of the Czech Republic in Board of EWLA (Prague 5, Ringhofferova 115/1, 115 21, Czech Republic, e-mail: iva.jermanova@akjermanova.com)
- Cancellations received before 5 May 2012 will receive a full refund less an administration charge of AMOUNT EUR 20.00 (EUR twenty)
- No refunds will be made for cancellations received after 5 May 2012