WIBF 2015 Registration Form

REGISTRATION INFORMATION
The Indigenous Leadership Development Institute Inc.
welcomes you to the:
2015 World Indigenous Business Forum
Oahu, Hawaii, USA
Tuesday, October 27 - Thursday, October 29, 2015
Location:
Waikiki Beach Marriot Resort and Spa
2552 Kalakaua Avenue, Oahu, HI
Delegates Welcome Reception:
(For Registered Delegates)
Tuesday, October 27, 2015 – 4:30pm to 7:30pm
Plenary:
Wednesday, October 28 to Thursday, October 29, 2015
VIP Evening Reception:
(Additional tickets can be purchased for guests)
Thursday, October 29, 2015
Reception tickets are included in the cost of registration. Registered Delegates may purchase additional VIP
Evening Reception tickets for guests for $99(USD) per
guest.
Lunch tickets may be purchased for guests for
$39(USD) per guest.
Payment information:
Early Registration: $749(USD) until May 29, 2015
Regular Registration: $849(USD) after this date.
Cheque or Money Order made payable to:
Indigenous Leadership Development Institute Inc.
101-1874 Portage Avenue
Winnipeg, Manitoba, Canada R3J 0H2
Pay by Visa and MasterCard by phone:
(204) 940-1700 or Fax (204) 940-1719
Pay online: Visit our Website at: wibf.ca
Cancellation Policy: Cancellation may be requested in
writing by September 25, 2015, the refund will be processed
in the same manner it was received (Credit Card, Cheque
or Money Order). A processing fee of 25% will be deducted;
cancellation requests received after the cancellation date
may not be entitled to a refund.
Send your cancellation request to:
Barb Hambleton – Indigenous Leadership Development
Institute Inc. 101-1874 Portage Avenue, Winnipeg, Manitoba,
Canada R3J 0H2 or barbhambleton@ildii.ca
Forum Inquires:
In North America:
Barb Hambleton
Phone: 1 (204) 940-1700
Email: barbhambleton@ildii.ca
In Latin America:
Luis Valesquez
Consultoria Internacional
Phone: (502) 2368-5228
Cell: (502) 5203-6546
luis.velasquez@consuinter.com
REGISTRATION FORM
Early Registration: $749(USD)
2015 World Indigenous Business Forum
Oahu, Hawaii, USA - Tuesday, October 27 - Thursday, October 29, 2015
Please complete one registration per delegate.
Regular Registration: $849(USD) September 26, 2015 to October 26, 2015
(Registration includes one ticket to both the Welcome Reception and the VIP Reception)
Additional VIP Evening Reception Guest tickets may be purchased by delegates.
Additional VIP Evening Reception ticket: $99(USD)
Number of tickets: ________
Additional guest lunch tickets may be purchased by delegates.
Name
Title
Company
Wednesday, October 28 Lunch ticket: $39(USD)
Number of tickets: ________
Thursday, October 29 Lunch ticket: $39(USD)
Number of tickets: ________
Payment Options
Address
City
State/Province
Zip/Postal Code
Cheque enclosed (Payable to Indigenous Leadership Development Institute Inc.) 1011874 Portage Avenue, Winnipeg, Manitoba, Canada R3J 0H2
Country
Email
Business Phone Number
Deadline: Friday May 29, 2015
Fax registration form with credit card information to: 1 (204) 940 1719
or call: 1(204) 940 1700
Online: wibf.ca
Fax Number
By registering to the World Indigenous Business Form, delegates agree to allow ILDII and
WIBF to use the information provided for internal purposes only and will not be used by a
third party, and understand the fees and Cancelation Policy. Any questions, contact Barb
Hambleton by phone: 1 (204) 940-1700 or email: barbhambleton@ildii.ca
Check this box if you are interested in receiving updates about upcoming World
Indigenous Business Forums and its other initiatives.
Credit Card
Visa
MasterCard
Total Amount: ________________________
Credit Card#
Expiry Date
Name on Card
Signature