What will you get out of the Monetising Digital: Show Me The Money Conference? Learn about new revenue models for new media | How to monetize mobile | How to monetize user content | Becoming a full fledged media agency | and much more!Conference registration Registration Form ICMA Spring Conference 2017 Belgrade 10-12 May1 Personal Details2 Registration3 Free Events/Hotel4 PaymentParticipant:*MemberNon-MemberIf you are a Solution Provider please continue to the Vendor/Associate Member Registration form. Click here.Name* First Last Company*Job Title*Address* Street Address Address Line 2 / State / Province / Region City ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country EU Value Added Tax numberREQUIRED FOR EU COUNTRIESTelephone number*Mobile phone numberEmail* CONFIRMATION AND ALL FURTHER COMMUNICATIONS WILL BE SENT TO THIS ADDRESS!GeneralIs this the first ICMA event you will attend?YesNoWhere did you hear about ICMA?ColleagueFacebookGoogleLinkedInICMA eNewsletterICMA MemberICMA Exhibitor/SponsorICMA WebsiteTwitterICMA PartnerWhat's the biggest problem/issue your company is facing right now?VisaDo you require a visa?*YesNoFull name as listed in your passport*Arrival Date* Departure Date* Passport Number*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Do you want to bring guest(s) who require a visa?*No guests require a visa1 Guest2 GuestsGuest 1Full name as listed in your passport*Arrival Date* Departure Date* Passport Number*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Guest 2Full name as listed in your passport*Arrival Date* Departure Date* Passport Number*Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Early Bird Registration for Second-Time AttendeesFull Conference (excluding Boot Camp)Registration fee includes access to most of the conference sessions, all lunches and coffee breaks and the "Free Events" on page 3. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and ICMA Friday Night Out.Price: €499IMPORTANT: 15 tickets at this price available. For those who have only attended one ICMA conference priorEarly-Bird Member conference registrationFull Conference and Boot Camp Registration fee includes access to the conference sessions including the special one-off Boot Camp (except the Business Leaders' Forum), all lunches and coffee breaks and the "Free Events" on page 3. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and the ICMA Friday Night Out. Price: € 948Full Conference (excluding Boot Camp) Registration fee includes access to the conference sessions (except the Business Leaders' Forum), all lunches and coffee breaks and the "Free Events" on page 3. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and the ICMA Friday Night Out. Price: € 599Boot Camp Designed to teach delegates how to turn data into knowledge to gain a competitive advantage. This special one-off session will take place on Wednesday. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and full conference registration. Price: € 349Early Bird Non-Member conference registrationFull Conference and Boot Camp Registration fee includes access to the conference sessions (except the Business Leaders' Forum) the Boot Camp, all lunches and coffee breaks and the "Free Events" on page 3. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and the ICMA Friday Night Out.Price: € 1,198Full Conference (excluding Boot Camp)Registration fee includes access to the conference sessions (except the Business Leaders' Forum), all lunches and coffee breaks and the "Free Events" on page 3. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and ICMA Friday Night Out.Price: €849Non-Member Special Thursday Day RateRegistration fee includes all the conference sessions in the morning and the Sharing best Practice workshop in the afternoon, lunch and coffee breaks and the "Free Events" on page 3. NOT INCLUDED are travel to and from meeting venue and hotel accommodation.Price: € 399Boot Camp Designed to teach delegates how to turn data into knowledge to gain a competitive advantage. This special one-off session will take place on Wednesday. NOT INCLUDED are travel to and from meeting venue, hotel accommodation and full conference registration. Price: € 349Standard conference registrationMember Standard conference registration €749Non-member Standard conference registration €999Promotional CodeThursday Afternoon Sharing Best Practice SessionsSharing Best PracticesNo Thursday afternoon optionParticipation is included in the registration feeFriday Morning SessionsBusiness Leader's Forum (BLF)Friday AMAccess to the Business Leader's Forum on Friday 12 May, for senior management, chief executives, managing directors, general managers etc.Price: € 249Sales Managers Workshop (SMW) Friday AMThis session is specific for Sales Managers and Reps and will run on Friday 12 May. N.B. It will run at the same time as the BLF & Businesss Operations Forum.Price: € 0Business Operations Forum (BOF)Friday AMIf you haven't registered for the BLF or SMW on Friday 12 May you can register for the Business Operations Forum, N.B. It will run at the same time as the BLF & SMW.Price: € 0No Friday Morning optionSocial Networking Add-ons ICMA Friday Night Out TicketThis ticket will give you access to the ICMA Friday Night Out€ 115 per ticket (ICMA Guest Tickets)Guest tickets are only available for non-employees of your company, includes 1 ICMA Friday Night Out ticket per guest, all lunches and coffee breaks and the "Free Events" mentioned on the next page.€ 349 per guestICMA Friday Night Out ticketsSelect the number of tickets you require1 ticket2 tickets3 ticketsNumber of Guest TicketsSelect the number of tickets you require1 guest2 guests3 guestsFull name of guest(s)FREE SOCIAL EVENTSThese activities are included in the registration fee for the ICMA Conference. Please make sure you select the functions you want to participate in to guarantee a space for you. If your guest(s)* would like to participate as well, please tick the amount of tickets you require. The guest has to be a registered guest on page 2 to participate in these events. Welcome Reception at the Conference Hotel0 tickets1 ticket2 ticketsGroup Dinner Event - Thursday0 tickets1 tickets2 ticketsDIETARY REQUIREMENTSPlease let us know if you or your guest(s) have any dietary requirementsHOTEL RESERVATION at the Hyatt Regency Hotel BelgradeWould you like to stay at the Hyatt Regency Hotel Belgrade?*I would like to make a reservationI do not want to make a reservationRoom RequirementsPlease indicate your requirements here. ICMA will reserve your room but you will need to pay the respective payment to the hotel directly upon checking out. DO NOT include this payment to ICMA.Room type*King/Twin Room Single Occupancy (EUR 114)King/Twin Room Double Occupancy (EUR 132)*Rates are per room per night including breakfast and taxI am sharing a room with*I am not sharing a roomSpouse/PartnerColleagueGuestPlease list his/her name*Date of Arrival:* Date of Departure* Other room requirementsCredit Card details They are required to guarantee your hotel reservation:Credit Card*Mastercard/EurocardVisaAMEXCredit card number*Card holder's name*Expiration date (month)*010203040506070809101112Expiration date (year)*2016201720182019202020212022CVC Code*Hotel cancellation fees, if necessary, will be charged to this credit card. Individual cancellations will be accepted until 8 September. Any cancellation after this date or NO Show will be charged with the original booking to the credit card used as a guarantee.Confirmation of detailsPlease make sure before you press the 'confirm' button that all your details are correct. If not, please return to page 2 or 3 and change your details via the "Previous" button below.Payment method*Pay by Bank TransferPreffered method of payment.ICMA will send you an invoice for your records. Please transfer the amount to:ABN AMROAccount no.: 49.00.80.227Swift Code: ABNANL2A orIBAN no.: NL07ABNA0490080227Pay by Credit CardThere will be an extra charge of 5% on the overall payment paid by credit card. This is due to bank charges and beyond our control.Please note ICMA cannot accept AMEX payments - please use a Visa or Mastercard.Use same credit card as for the hotel reservationYesNoCREDIT CARD detailsCredit CardMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Total Registration CostsRegistrations will not be official until full payment has been received. ICMA Head Office must be notified in writing of any cancellations with the operative date being the date in which ICMA receives the written notification. A cancellation fee of €150 for cancellations received up to 19th August 2016. After this date there will be no refund of the cancellation fee.5% Credit Card Fee5%Total price € 0.00 I have read and understood the terms and conditions listed in this ICMA registration form. I agree to abide by the rules and conditions as stated. Yes, I agreeCaptcha