2012 Late Closing Date is FEBRUARY 10 REGISTER
WorldMediaFestival
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Registration for Personal Participation at WorldMediaFestival

Before completing the form please read the instructions of how to register for personal participation at WorldMediaFestival and the Rules and Regulations carefully. The delegate fee is EUR 250 or US$ 340 per person plus VAT and includes everything listed on the site Schedule of Events. All events are only for registered guests. As a registered guest you will receive all further programme details.

The information provided will be used for name tags etc. Please fill in the form carefully and please state the full company name including Ltd. etc if it applies.

To submit the form you need to complete all the fields.


Your Profile

Mr   Mrs   Ms

Your First Name:

Your Family Name:

Full Name of Your Organization:

Type of Business/Field of Activity:

Your Job Title:

Street Address:

City (incl. zip/postal code):

Country:

Your Phone Number (incl.country + area code):

Your Fax Number (incl.country + area code):

Your eMail Address:

You will be present at the:

Screening Day May 09, 2012
Awards Ceremony May 09, 2012

Payment

Method of payment:

in US$

in EUR

 

by cheque

by bank transfer

by PayPal

Will you send a cheque drawn on a bank outside Germany?
Yes   No


How did you get to know about the WorldMediaFestival?

Internet research
Word of mouth
eMail newsletter of the festival
Printed Call for Entries of the festival
Press
Other (please state)

Agreement

You declare, that you have fully read and understood the Rules and Regulations given under Rules and Regulations. By submitting this participation form you accept all rules and regulations and all financial consequences as stated under Rules and Regulations.