REGISTRATION FORM Please fill in the form below to register. Name of main registrant * Age * Phone number * Email * Designation * Sector/Industry * Name of company * Are you interested in learning more about INSEAD degrees? * —Please choose an option—YesNo Dietary requirements? * —Please choose an option—MeatVegetarian Allergies * Any Specific Request? Are you interested in sponsoring an extra ticket? * —Please choose an option—YesNo