Registration Form
Please fill out the form as completely as possible. The fields marked with an asterisk (*) are compulsory. If you have any problems with this form, please write with details of your problem, including the error message you receive to . If you have problems and you see an error message above about your browser being unsupported, please upgrade to a newer browser and try again before contacting us.

Thank you for registering as soon as possible, but no later than six weeks before your arrival.

Personal information
*First name
 *Family name
*Date of birth (dd/mm/yyyy)
 *Gender
*Citizenship
*First language
 Proficiency
Native
Second language
 Proficiency
Third
 Proficiency
Fourth
 Proficiency
Profession
 Employer
Special dietary requirements
The menus at Caux include a vegetarian option for each meal. All the meat at Caux is Halal. Please indicate any other dietary requirements, but leave this field blank if no special dietary requirements apply.

Contact information
*E-mail address
 *E-mail address (verify)
*Telephone number (e.g. +41 ...)
 Mobile phone number
Fax number
 Office phone number
Permanent address
*Street address
*City/Town
Postal code
State/Province
*Country
Stay in Caux
*Arrival (dd/mm/yyyy)
 *Arrival time (hh:mm)
24h clock!
*Departure (dd/mm/yyyy)
 *Departure time (hh:mm)
24h clock!
Travel: car/train
 Travel: flight number
*Previous visit to Caux?
No, Yes, year of last visit:
    * If no, how did you hear about the Caux conferences?
    
*In Caux, all participants are encouraged to help in the practical life of the house. Please choose in which department you would like to help:
*Send confirmation letter via
E-mail Post Fax Post, but to a different address (you can specify the address on the next page)
*I will be accompanied by (members of the same family only)
Nobody Spouse Spouse and child(ren) Child(ren)
If you are accompanied, you will be able to provide details for your spouse and/or child(ren) on the following pages.
Visa
yes, I/we need a visa

Please enquire whether you need a visa by consulting one of the following

IMPORTANT
  • If you require a Swiss visa your registration needs to reach the conference secretariat at least TEN weeks prior to your arrival at Caux.
  • Please note that once your visa letter has been issued (copies of which go to the Swiss Embassy) it is very difficult to change your reservation outside the dates of the visa letter.

*I would like to participate in the following conference(s)
Learning to Live in a Multicultural World July 02-07, 2010
The third annual Caux Forum for Human Security July 09-16, 2010
Everybody Counts July 26 - August 02, 2010
Leading Change for a Sustainable World August 04-10, 2010
Training by Initiatives of Change August 04-10, 2010
Trust and Integrity in the Global Economy August 12-17, 2010
Other reasons, please specify
Name badge
While the conferences are on, everyone in the conference centre has a name badge that indicates name and country. Please provide your information as you want it to appear on your badge.
*First name
 *Family name
*Country
Conference Fees
*My personal contribution per day

In case you are not able to pay 92 CHF per day (adult) yourself, please provide the name of the person or organization that is sponsoring you and the exact amount this person or organization is going to pay per day:
SponsorCurrencyAmount per day
Remarks
Remarks