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
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