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Autoclub Guatemala | FIA-American-Congress-Registration
2427
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Registration
Congress Policy
Programme
Additional Information
EspaƱol
REGISTRATION FORM
Please register before May 31st.
Please enable JavaScript in your browser to complete this form.
CONTACT DETAILS
PROFILE
*
Choose your profile
FIA Club Member (ACN)
FIA Club Member (Mobility)
FIA Club Member (ASN)
FIA Representative
FIA Staff
Guest
NAME
*
SURNAME
*
CLUB / ORGANIZATION
*
COUNTRY
*
POSITION
*
EMAIL
*
CELL PHONE NUMBER
*
Please indicate the country code
TRAVEL INFORMATION
The provided information will be used to proceed to the hotel pre-booking
and schedule the airport transfers. Please share any updates with the
organization team at
american_congress@fia.com
ARRIVAL DETAILS
Date
Time
AIRLINE NAME
ARRIVAL FLIGHT NUMBER
Provide your flight number to track your flight in case of delay or cancellation
DEPARTURE DETAILS
Date
Time
DO YOU HAVE ANY SPECIAL NEED OR DIETARY RESTRICTION?
*
YES
NO
SPECIAL NEEDS - DIETARY RESTRICTIONS
WILL YOU BE ACCOMPANIED?
*
YES
NO
Name
*
First
Last
DOES YOUR PARTNER HAVE ANY SPECIAL NEED OR DIETARY RESTRICTION?
*
YES
NO
SPECIAL NEEDS - DIETARY RESTRICTIONS
DO YOU OR YOUR PARTNER HAVE ANY PHYSICAL AILMENT WHICH NEEDS SPECIAL ASSISTANCE?
*
YES
NO
SPECIAL ASSISTANCE
PROGRAMME
We would like your opinion to optimise the programme and its relevance.
WHAT ARE THE 3 MAIN TOPICS YOU WOULD LIKE THE PROGRAMME TO ADDRESS:
*
TOPIC 1 "required field"
WHAT ARE THE 3 MAIN TOPICS YOU WOULD LIKE THE PROGRAMME TO ADDRESS:
TOPIC 2
WHAT ARE THE 3 MAIN TOPICS YOU WOULD LIKE THE PROGRAMME TO ADDRESS:
TOPIC 3
PLEASE INDICATE YOUR PREFERRED SESSION FORMAT(S):
Expert lectures
Club case study presentations
Other format
PLEASE DESCRIBE YOUR EXPECTATION
Register now