Delegate Registration Form

Title

Family Name*

First Name/s*

Company/Organization*

Position in Company/Organization

Street Address

City

State

Postal Code

Country*

Telephone (incluce int. dialing code)*

Fax (include int. dialing code)

Mobile Number*

E-mail Address*

Expected Arrival Date

Expected Departure Date

Accompanying Person/s

no
one
two
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Name/s of Accompanying Person/s

Mobile Phone number/s of the Accompanying Person/s

E-Mail Address/es of Accompanying Person/s

Delegate Registration Fees

890 CHF (NET) per delegate *
500 CHF (NET) per each accompanying person *

* includes compulsory carbon tax

Total CHF

PAYMENT

Bank Wire Transfer: please pay your registration fee by wiring funds no later than October 15, 2019 directly to:

CIBJO, the World Jewellery Confederation (beneficiary)

VALIANT BANK

Bundesgasse 4, 3001, Bern, Switzerland

CIBJO – CHF Account

IBAN CH41 0630 0016 6103 9820 9

SWIFT-CODE: VABECH 22

Bank-Clearing 6300

When wiring your funds, please indicate your name and the name/s of accompanying person/s.

When you click on the “SUBMIT” button, your Delegate Registration Form will be sent directly to the CIBJO Secretariat. You should then await the confirmation of its receipt.

For further information, please contact the CIBJO Secretariat by email at: cibjo@cibjo.org

Special requests: