Online Registration

REGISTRATION

In order to register to the 15^th IGDS WDSS, please fill in the form below and proceed to the secured payment area (by Six-Card www.six-payment-services.com).

Your Registration Details

Before entering your details, please make sure that you have in your possession all elements to fulfil the 3-D Secure protocol that might be requested by your credit card company.

Personal Information

Prefix *

First name *

Last name *

Special Requests / Dietary Requirements

Company Information

Company *

Job title *

Type of Business * -- select -- Department Store Retail - Brand Retail - eCommerce Retail Others Consultancy Financial Services Real Estate/Property Supplier Technology Others Manufacturer

Address *

Town / City *

Zip Code / Postcode *

Country * -- select -- Afganistan Albania Algeria Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Hercegovina Botswana Brazil British Indian Ocean Terr British Virgin Islands Brunei Bulgaria Burkina Burma (Myanmar) Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Island Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fedrated States of Micronesia Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Gaza Strip Administered by Israel Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (Skopje) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Republic of Yemen Reunion Romania Russia Rwanda San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Helena St Kitts and Nevis St Lucia St Pierre and Miquelon St Vincent and the Grenadines Sudan Suriname Svalbard, Jan Mayen Island Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna West Bank Administered by Israel Western Sahara Western Samoa Zambia Zimbabwe

Phone *

Email address *

Email assistant

WDSS Code

Please select from the following options

Currency * US$ (USD) Euro (EUR)

Participation in the Store Visit at KaDeWe

I have read and agree to the Terms & Conditions of the 15^th World Department Store Summit

Confirm here

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