Registration

JOIN US AT WOMEN4IMPACT

Flight availability into Bhutan is very limited.
To reserve your seats, we highly encourage registration by July 31.
Core Program
YES! Reserve my place for the Women4Impact core program in Bhutan between October 31-November 4, 2019.
Alone/spouse*
- I will be attending alone.
- I will be attending with my spouse/partner or child (13+ years of age).
Name(s) of other attendees
PACKAGES

Tara Donor
Tara donor
- I am interested in the Tara Donor Package for the core program (USD 10,000 per person donation, limited to 34 persons, Palace dinner invitation, 5-star accommodation, exclusive access to 3-night Bumthang Extension with private charter flight and village visit).
Jamsem
Jamsem donor
- I am interested in the Jamsem Package for the core program (10% donation, 5-star accommodation).
Dorji
Dorji donor
- I am interested in the Dorji Package for the core program (5% donation, 3-4 star accommodation).
3-NIGHT TRAVEL EXTENSIONS
3-NIGHT EXTENSION
- I am interested in the Bumthang Extension held between November 4-7, 2019 (exclusive to Tara Donors and limited to first 25 registrants).
- I am interested in the Punakha Extension held between October 28-31, 2019 (available to all).
- I am interested in the Punakha Extension held between November 4-7, 2019 (available to all).
Name*
First Last
Title
Organization
Email*
Enter Email Confirm Email
Country
Country
Departure City (optional)
Phone
Refered by
Anything else you would like to tell us?
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Name
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JOIN US AT WOMEN4IMPACT

Core Program

PACKAGES

Tara Donor

Jamsem

Dorji

3-NIGHT TRAVEL EXTENSIONS

Anything else you would like to tell us?