Registration form

Deloitte Conseil
185, avenue Charles de Gaulle
92524 Neuilly-sur-Seine

Internet site : https://formation.deloitte.fr

Thank you to fill out the form :

Question Title

* Scaled Agile Academy
SPC Training Certification Class - June 23, 24, 25, 26, 2015 - Paris, France

Early Bird discounts - 180 € for registration and payment before May 22, 2015
Price : 2 815 € excl. VAT (20 %), per participant 3 378 € incl. VAT

Individual registration
Price : 2 995 € excl. VAT (20 %), per participant 3 594 € incl. VAT

Registration for a group of 3 participants - Please fill a form for each participant
Price : 2 860 € excl. VAT (20 %), per participant 3 432 € incl. VAT

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* Please indicate your level of partnership with Scaled Agile

Gold

Silver

Bronze

None

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* Conditions

I understand and agree to the terms and conditions of this contract.
https://formation.deloitte.fr/page/frontView/page/5

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* Last Name

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* First Name

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* E-mail

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* Job Title

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* Phone

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* Name of company

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* Address

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* Zip code

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* City

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* Invoicing details

Please check here if the invoicing details are the same as the above information.

Please check here and complete the following if the invoicing details are different from the above information

Registration form

Deloitte Conseil
185, avenue Charles de Gaulle
92524 Neuilly-sur-Seine

Question Title

* Scaled Agile Academy
SPC Training Certification Class - June 23, 24, 25, 26, 2015 - Paris, France

Question Title

* Please indicate your level of partnership with Scaled Agile

Question Title

* Conditions

Question Title

* Last Name

Question Title

* First Name

Question Title

* E-mail

Question Title

* Job Title

Question Title

* Phone

Question Title

* Name of company

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* Address

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* Zip code

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* City

Question Title

* Invoicing details

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* In case of registration for a 3 participants group, indicate the name of the 3 participants :

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* Administrative contact : Last Name

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* Administrative contact : Job Title

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* Administrative contact : E-mail

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* Payment

Question Title

* Scaled Agile AcademySPC Training Certification Class - June 23, 24, 25, 26, 2015 - Paris, France

Question Title

* Please indicate your level of partnership with Scaled Agile

Question Title

* Conditions

Question Title

* Last Name

Question Title

* First Name

Question Title

* E-mail

Question Title

* Job Title

Question Title

* Phone

Question Title

* Name of company

Question Title

* Address

Question Title

* Zip code

Question Title

* City

Question Title

* Invoicing details

Question Title

* In case of registration for a 3 participants group, indicate the name of the 3 participants :

Question Title

* Administrative contact : Last Name

Question Title

* Administrative contact : Job Title

Question Title

* Administrative contact : E-mail

Question Title

* Payment

* Scaled Agile Academy
SPC Training Certification Class - June 23, 24, 25, 26, 2015 - Paris, France