8th Annual “WILL Leadership Conference: 2015”
“Leadership by Proxy:
The Story of Women in Corporate India”
December 14, 2015
Taj Lands End Ballroom, Mumbai

WILL Conference Registration Form
WILL Forum: Members
Registration Fees
Non-Members
Registration Fees
• 1 Participant: Rs. 20,000 per participant
• 1 Participant: Rs. 25,000 per participant
• 2 Participants: Rs. 38,000 total (saving Rs. 2,000)
• 2 Participants: Rs. 48,000 total (saving Rs. 2,000)
• 3 Participants: Rs. 53,000 total (saving Rs. 7,000)
• 3 Participants: Rs. 68,000 total (saving Rs. 7,000)
• 4 Participants: Rs. 65,000 total (saving Rs. 15,000)
• 4 Participants: Rs. 85,000 total (saving Rs. 15,000)
• 5 Participants: Rs. 80,000 total (saving Rs. 20,000)
• 5 Participants: Rs. 100,000 total (saving Rs. 25,000)
Name___________________________________________________________________________________
Designation______________________________________________________________________________
Company Name___________________________________________________________________________
Address _________________________________________________________________________________
Business/Mobile Phone _________________________ E-Mail Address ______________________________
Participants for Registration:
Name
Designation
Email Contact
1)
2)
3)
4)
5)
Preferred Payment Option:
 Crossed Cheque / Demand Draft favoring “WILL Forum India Advisory Pvt. Ltd.”

Send to B 5 & 6/4563 Vasant Kunj, New Delhi- 110070, India
Via NEFT Transfer:
Beneficiary Bank: ICICI Bank, Vasant Kunj, IFSC CODE- RTGS- ICIC0001037
A/c No.103705000133, Beneficiary Name “WILL Forum India Advisory Pvt. Ltd.”
Please return the Conference Registration Form at the earliest to block your seats:
Email: pooja.pandey@willforumindia.com
Tel. No. 011 – 2689 8869 / +91-98 101 73871
All proceeds from the WILL Conference will be used to support the WILL Forum vision and mandate of leveraging the vast talent pool of women
executives and improving the workplace for women in leadership in corporate India.
All WILL Corporate Members will be privileged with discounted Conference Registration