The GRC Frontiers Registration Form Title * Mr.Mrs. First Name (as stated on Passport) * Last Name (as stated on passport) * Passport number * Birth date * Company / Institution * Position * Department / Division * Email 1 (Primary) * Email 2 (Alternative) Phone 1 (Primary) * Phone 2 (Alternative) Mailing Address for Invoicing Purpose (Street, City, Province, Country, Postal Code, Contact Person) * Contact Person (PIC) Detail (Email, Phone, Address) * Date period * -select-Early Bird (payment deadline: June 21st, 2024)Regular (payment deadline: August 16th, 2024)Non Regular (payment deadline: August 30th, 2024) Route * -select-Switzerland & GermanyGermany onlySwitzerland only Package * -select-Full Package (incl. accommodation, meals, and travel)Program Only (company visits and in-class only) Additional Request: Room - Single Supplement (1 room for 1 person) * -select-NoYes Additional Request: Flight Tickets * -select-YesNo Please select the flight class: EconomyBusiness Additional Request: Visa Handling * -select-By registering participant / companyBy CRMS travel partner *Additional request may require additional fee Payment by PersonalCompany Additional Note or Request (e.g. vegetarian) Participant with the data above is registering for this program. Note: *) is mandatory field **) can be readjusted at any time according to the recent price and flight ticket availability Cancellations made approaching the event will be charged administrative costs as follows: • After 12 July 2024: 75% charge of full payment • After 16 August 2024: 100% charge of full payment Need Help? Send us an email at secretariat@crmsindonesia.org or reach us through WhatsApp.
