Event registration - Sharp Reflections

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Delegate

Fields and information marked with * are required

First name *

Last name *

Email *

Title *

Company *

Company location *

Phone *

Emergency contact

First name *

Last name *

Phone *

Accommodation – make your room reservation

The Van der Valk Hotel Sassenheim – Leiden, is offering the GATHERing delegates a discount room of EURO 169 rate for October 23-25, for reservations made by October 6, 2023.

Book your room and receive this rate by emailing banqueting@sassenheim.valk.com with the reference code SAS-GF25607 in the subject line.

Note! Please contact Dorle Danter at dorle.danter@sharpreflections.com for bookings after October 6.

Event activities

Monday reception / icebreaker

Yes
No

Tuesday evening dinner

Yes
No

Food intolerance

Do you have any dietary restrictions?

None

Special food requirements

Price selection

Standard €450

The cost includes all meals, event dinner, and training with all materials.

Registration closes October 9, 2023. For later registration after October 9, please contact Dorle.danter@sharpreflections.com

Group registration

1	First name(s)* * Last name * Email* * Title * Phone *
1	First name(s)* * Last name * Email* * Title * Phone *

+ Add delegate

Payment method *

Credit card
Invoice

Message for payment selection

only for more than 3 group delegates

Credit card payment

Credit card payment will be handled by Stripe.

Invoice

An invoice will be sent to the Company contact.

Total amount *

Group amount *

Card holder name

Credit card payment

Credit card payment will be handled by Stripe.

Address

City

Zip code

State

Country

Company Invoicing contact 1 (name)* *

Company Invoicing contact’s email address *

Company contact 2 (name) *

Company contact’s email address* *

Company name and entity* *

Street address *

City *

Zip code *

State *

Country *

Billing address

Same as card holder address
Different address

Company name and entity *

Street address *

City *

Zip code *

State

Country *

Registration ID

Registration title