2021 Executive Academy - Europe Stream- Prague 8-12 November 2021 Prague, Czech Republic Fields marked with (*) are mandatory. Personal information:Name* DrMrMrsMsProf Title First Last Job Title*Company/Institution*Billing address* Street Address City ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzechiaDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (formerly Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorth MacedoniaNorwayOmanPakistanPalauPalestine StatePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabweRegretfully, we are not able to process your registration. Please contact email@example.com for further information.Email* Phone (Int'l)*Purchase OrderAffiliated to VAT ?*YesNoVAT number*PortraitPlease attach your photo in JPG or PNG format (full face portrait; 5 MB max.). The photo will be added to the participants' list to facilitate networking. Accepted file types: jpg, png.MembershipMembership status*EFMD MemberNon-memberRegistration fee:(early bird fee applied until 30 September 2021 included)(normal fee applied as of 1 October 2021)Fee Price: 4.000,00 € The above fee covers all programme items including social functions. Expenses related to travel and accommodation in the location are not included.If you received a voucher code, please enter it here: VAT 21% 0,00 € Total 0,00 € Payment method*Bank transferCredit cardPlease do not send any payments prior to receiving an invoice via email stating your name and all the necessary details that will allow for clear identification of your payment.Your credit card information is passed directly from your browser to Stripe over a secure connection.General:I agree with the EFMD Global terms and conditions.*https://www.efmdglobal.org/privacy-policy/ yes I declare that all the information stated above is accurate, including allergies and dietary requirements.* yes I authorise EFMD Global to use all information communicated within the legal framework of its activities.* yes I agree to receive an e-mail newsletter and other communication material from EFMD Global.* I can unsubscribe or update my preferences at any time.YesNoTechnical informationRegistration date Date Format: DD slash MM slash YYYY Event referencePhoneThis field is for validation purposes and should be left unchanged.