First Name *

Last Name *

Email *

Phone *

Address *

Country *

State

City *

Postal code *

Choose type of payment method *

For bank payment:

Bank Name

Name of Account

Account Number

SWIFT

Bank Code

Bank City, Provice, ZIP

For Paypal:

Payment Currency

Name of Account (Paypal)

Paypal Currency

Paypal Email:

Terms & Condition

Agreement

I agree to receive further communications about events and activities from Global Woman Magazine, Club, Lobby, Academy,Summit,or its founder and CEO, Mirela Sula. I understand that I may unsubscribe at any time and that my data will not be shared or sold to any third party.