Events

EUROPEAN MEDIA EXECUTIVE LEADERSHIP PROGRAMME
16 - 21 JUNE 2010, Strasbourg, France

EuroSummit '10
23 - 24 SEPT 2010, BUDAPEST

1 2

Individual Membership Application

PAYMENT OPTION #1 - Bank Transfer - Request an invoice
Description Price Select
CTAM Europe Individual Membership € 300
CTAM Europe Corporate Membership € 170
Discounted CTAM Europe Membership
(CTAM U.S. Members receive 50% discount)
€ 150
Other payment
(enter the amount for which you were invoiced)
€ 
First name*
Last name*
Company*
Title / Position*
Address*
Postal code*
City*
Country*
Phone*
Mobile
E-mail*
I also wish to attend EuroSummit '10
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If you would like us to invoice someone else, please indicate their information below. Scroll down to submit your information.
Attention
Company
Address
Postal Code
City
Country
Phone
Mobile
E-mail
P.O. Number
  *Indicates required field.
PAYMENT OPTION #2 - Credit card payment
Description Price Select
CTAM Europe Individual Membership € 300
CTAM Europe Corporate Membership € 170
Discounted CTAM Europe Membership
(CTAM U.S. Members receive 50% discount)
€ 150
Club rental: € 48
 
Handicap (if any)
 
Preference of other players in the same
team (if any)
1.
2.
 
Other payment
(enter the amount for which you were invoiced)
€ 
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discover Discover   dinersclub Diners Club
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First Name*
Last Name*
Title / Position*
Company type*
Company*
Invoice Address
(Incl. City/Zip/Postcode)
Phone*
Mobile
Credit Card Billing Details
Address*
Zip/Postcode*   I have no ZIP code
City*
State/Province/Country
E-mail Address*
 *Indicates required field.
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