Your ROC *

JA Africa

JA Americas

JA Asia Pacific

JA Europe

INJAZ Al-Arab/JA MENA

Junior Achievement USA

Your name *

That is, the name of the person completing this form. Note that you can register yourself, too, as one of the attendees, below.

First Name

Last Name

The attendees I will be inputting below have given me permission to register them, and their supervisors have approved their attendance at GLC. *

Yes

No (if "No," please stop, obtain the required permission, and return here to register)

Name *

Please write the attendee's name as it is shown on their passport

First Name

Last Name

Single room or shared? *

Conference fee (per person per room), including hotel room and meals, is US$680 per person for a single room and US$550 per person for a shared room. Fee does not include airfare, airport transfer, and one dinner on your own.

Single room

Shared room (you must name your roommate, below)

Name

Please write the attendee's name as it is shown on their passport

First Name

Last Name

Single room or shared?

You're responsible for airfare, airport transfer, and one dinner on your own. Conference fee (per person per room), including hotel room and meals, is $550USD for a single room and $400USD for a shared room.

Single room

Shared room (you must name your roommate, below)

Name

Please write the attendee's name as it is shown on their passport

First Name

Last Name

Single room or shared?

You're responsible for airfare, airport transfer, and one dinner on your own. Conference fee (per person per room), including hotel room and meals, is $550USD for a single room and $400USD for a shared room.

Single room

Shared room (you must name your roommate, below)