LATAM 2023 Symposium Registration

First Name*

Last Name*

Job Title*

Name of Organization*

Email*

example@example.com

Twitter ID:

LinkedIn ID:

Company Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Office Phone Number*

Area CodePhone Number

I agree to share my contact information with event sponsors*

YesNo

Will you be attending the luncheon?*

YesNo

Will you be attending the closing cocktail?*

YesNo

Dietary Restrictions:*

Register for the Women in Payments 2023 LATAM Symposium at The InterContinental Miami before March 31, 2023 for Early Bird Pricing. All prices are listed in USD.*

LATAM Symposium Day (Regular Price $1,095)$995.00

Individual ticket to attend the Women in Payments Symposium on May 30, 2023 (evening cocktail reception) and May 31, 2023 (full day symposium)

LATAM Symposium Day Group of 8 (Regular Price $8,095)$7,000.00

Group of 8 delegates to attend the Women in Payments Symposium on May 30, 2023 (evening cocktail reception) and May 31, 2023 ( full day symposium)

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Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Person 1

1: First Name*

1: Last Name*

1: Title*

1: Company*

1: Email*

1: Dietary Restrictions*

Person 2

2: First Name*

2: Last Name*

2: Title*

2: Company*

2: Email*

2: Dietary Restrictions*

Person 3

3: First Name*

3: Last Name*

3: Title*

3: Company*

3: Email*

3: Dietary Restrictions*

Person 4

4: First Name*

4: Last Name*

4: Title*

4: Company*

4: Email*

4: Dietary Restrictions*

Person 5

5: First Name*

5: Last Name*

5: Title*

5: Company*

5: Email*

5: Dietary Restrictions*

Person 6

6: First Name*

6: Last Name*

6: Title*

6: Company*

6: Email*

6: Dietary Restrictions*

Person 7

7: First Name*

7: Last Name*

7: Title*

7: Company*

7: Email*

7: Dietary Restrictions*

Person 8

8: First Name*

8: Last Name*

8: Title*

8: Company*

8: Email*

8: Dietary Restrictions*

Refund & Cancellation Policy

A registrant may receive a refund, less $100.00 administration fee up to 30 calendar days prior to the event date. Refund requests must be received in writing by e-mail to info@womeninpayments.org 30 calendar days before the event date to receive a refund. A registrant may transfer their ticket to another delegate up to two weeks prior to the event date. Requests to transfer tickets must be received in writing by e-mail to info@womeninpayments.org at least two weeks prior to the event date.