Please Complete the Form Below to Register for the 2023 Colloquium on Global Diversity 2023 Colloquium Registration Yes, I would like to attend the Global Diversity Colloquium: Creating a Level Playing Field for Women on February 23, 2023 (4 p.m. – 8 p.m.) and February 24, 2023 (8 a.m. – 3 p.m.) in New YorkI will attend the February 23rd Dinner Roundtables. (These discussion sessions are an integral part of the program.)I am able to attend the February 24th Colloquium onlyNo, I am unable to participate, but would like to send the senior executive named below to represent my company First Name (required) Last Name (required) Job Title (required) Company (required) Mailing Address City State (if applicable) Postal Code Country Telephone Number Mobile Tel. Your Email (required) Payment Information Registration Fee: UD $700 (Includes includes Feb 23 sessions, Feb 23 Dinner Roundtables and Feb 24 sessions) Credit Card Type Name on Card Credit Card Number (please ensure that you enter the entire number as it appears on your card) Expiration date CVV/Security Code Cancellation Policy Notice of cancellation must be submitted in writing to email@example.com before February 4th, 2023 to receive a refund. A 10% fee against the cost of registration will be charged to cover banking fees. For cancellations received after February 4th, no refund will be issued.