Industry Forecast Seminar 2011

Seminar Reservation

Fields marked * are mandatory.

Name Title* First* Last*
Position

Job Title*

Company Name*
Address
Street Address*

City

Postcode / Zip*

State / Province / Region*

Country*
Contact Details

Email*

Phone*

Fax
Select Seminar Location*
Organisation*
EU Based Organisation UK Based Organisation Other

Other (Please Specify)
VAT Registered?*
Yes No

VAT No (EU Firms Only)
Order Details* Please Enter My Order For The Industry Forecast Seminar I cannot attend the Seminar, please send me Proceedings
Select Currency

Delegate Fee
*A 10% group discount price applies to three or more delegates from the same facility registering at the same time with the registration fee paid on a single invoice. If booking as part of a group, please list the names of other group members in the Additional Comments box below.
Proceedings include electronic CD-Rom version only. If you require a hard copy version please state this in the Additional Comments Box below. An additional €80 for delivery in Europe and £20 for delivery in the UK will be added to your invoice to cover delivery.
Shipping Costs: £0.00

Sub Total: £0.00

VAT Amount: £0.00

Total Amount Due: £0.00

Invoice will be sent to you by e-mail on receipt of registration. Should you require this to be addressed to someone other than you, please provide there details in the Additional Comments / Special Requests Box at the bottom of this form.
Payment Method*
PO Raised Bank Transfer Organised Cheque Raised

Please Advise PO Number