Geneva Gala 2013 Table Registration

100WHF Members/Supporters
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Geneva Gala 2013 Table Registration Form

* Required fields
Programme Listing
** Please enter the name that should appear in the programme, EXACTLY as it should be listed.
For example, the full name of the individual and/or organization making the purchase.
** Name for Programme Listing:
Tables
Sponsorship Level   Price Qty Requested
Platinum (Two Tables) CHF 25,000.00
Premium Gold (One Table) CHF 15,000.00
Gold (One table) CHF 12,000.00
Silver (Half Table) CHF 6,000.00
Contact Information
* First Name:
* Last Name:
Business Title:
Company/Organization:
* Email:
* Address1:
Address 2:
* City:
State/Province: (USA and Canada)
* Post Code/Zip:
* Country:
* Phone:
Fax:
Comments
If you have any comments or special requests, please enter them below.
 

ORDERS ARE NOT CONFIRMED UNTIL PAYMENT IS RECEIVED (WHILE PLACES ARE AVAILABLE)

Each table order must be paid in full within thirty days of reservation or it will be cancelled. All sales are final. No refunds.