Click here for a PDF of the brochure REGISTRATION FORM
Company: _____________________________________________________ Address: _______________________________________________________ ______________________________________________________________ Country: _______________________________________________________ Tel: ____________________________ Fax: ____________________________ Email: ________________________________________________________ VAT No.: __________________________________________________ (Must be completed by all EU Companies) Company activity: _______________________________________________ Purchase order No. (if applicable): _______________________________________ Invoice address (if different from above): ____________________________ ________________________________________________________ ________________________________________________________
DELEGATE DETAILS If more than one delegate please photocopy form
Title: _______________ First name: _________________________________ Surname: ______________________________________________________ Position: _______________________________________________________ Special dietary requirements: _______________________________________ Signature: ________________________ Date: ________________________
PAYMENT DETAILS All payments to be made in USD Please tick box and write amount:
❑ Early bird admission fee: USD1320 (Until 4th September 2015)
❑ Admission fee thereafter: USD 1450 ❑ Table top exhibition package: USD 2750
(Includes 1 delegate place) Total: _________ METHOD OF PAYMENT
On receipt of this registration form your credit card will be debited. You will be sent an invoice in 7-14 working days.
❑ Bank transfer quoting: ‘Applied Market Information Ltd. - Compounding World Asia 2015’ to: National Westminster Bank Plc, Thornbury Branch,16 The Plain, Thornbury, Bristol BS99 5HD Account number: 140 0 034 20760
Bank No. 55 61 38 IBAN: GB62 NWBK 6073 0103 420760 SWIFT: NWBKGB2L
❑ Visa / Mastercard / Eurocard / JCB -
- - If paying by card the following information must be given
Name of cardholder: _____________________________________________ Expiry date: ________________________ 3-digit security code: __________ Cardholder’s signature: ___________________________________________ Card billing address: _____________________________________________ Post / zip code: __________________________________________________
Country: _______________________________________________________ _________
_________ _________
COMPOUNDING WORLD ASIA 2015 CONFERENCE INFORMATION
Date and location 6-8 October 2015
Grand Copthorne Waterfront Hotel 392 Havelock Road Singapore, 169663
Tel: +65 6733 0880 Fax: +65 6737 8880
Registration fee The registration fee includes attendance at all conference sessions, the Cocktail Reception, lunch and refreshment breaks on all days and a set of conference proceedings.
• Early bird registration: Register before 4th September 2015 for only USD
1320.Thereafter the cost is USD1450.
• Group rates: For companies wishing to register two or more delegates, group discounts are available. Please contact the Conference Organiser for more details. (Please note to qualify for the group discount delegates must be booked at the same time, otherwise additional delegates may be charged at full price.)
Compounding World Asia 2015 table top exhibition A limited number of table top exhibition spaces are available in the registration area and coffee lounge directly outside the conference room. The table top exhibition fee is excellent value for money and includes 1 delegate place. Exhibitors may either use tables provided by the hotel or bring their own stand or display.
Sponsor this event and promote your company A variety of sponsorship opportunities are available at this event that can help to promote and enhance your company’s products and services to this highly targeted international audience. For further information, please contact the Conference Organiser on: +44 (0) 117 314 8111.
Social event The social events organised for Compounding World Asia 2015 will provide an ideal setting for delegates and speakers to mix business with pleasure.
• Cocktail Reception: A cocktail reception will be held on the fi rst evening. All delegates are invited to attend and it will offer an excellent opportunity
to meet speakers and other colleagues. The Cocktail Reception will run approximately from 18.10 to 19:40 and is included in the delegate fee.
Hotel accommodation Delegates are responsible for arranging their own hotel accommodation whilst attending the conference.
However, AMI have reserved a limited number of rooms for delegates at the Grand Copthorne Waterfront Hotel, at the rate of S$260 (plus taxes) for a superior room and of S$290 (plus taxes) for a Deluxe room including breakfast and Wi-Fi.
To make a reservation, please contact Eric Liew on Tel: + 65 6233 1394 Fax: +65 6233 1166
Email:
eric.liew@
millenniumhotels.com or
grprsvns.gcw@millenniumhotels.com
Cancellations Full refunds, less a cancellation charge of USD300 will only be made on cancellations received prior to 4th September 2015. Thereafter we regret that no refunds can be made. Delegates may be substituted at any time. Please note that refunds will not be given on table top bookings or sponsorship packages
CONFERENCE HOTLINE
GIULIA ESPOSITO, CONFERENCE ORGANISER Applied Market Information Ltd. 6 Pritchard Street, Bristol, BS2 8RH, United Kingdom Tel: +44 (0) 117 314 8111 Fax: +44 (0) 117 311 1534 Email:
ge@amiplastics.com
Tel: ____________________________ Fax: ____________________________ Email: ________________________________________________________ Fax back to: +44 (0) 117 311 1534 or Email:
ge@amiplastics.com
The latest programme, including any new speakers or changes to the schedule can be viewed on our website:
www.amiconferences.com
HOTEL PICTURE HERE
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