PLEASE PRINT OUT FORM AND COMPLETE IN BLOCK CAPITALS


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 29th January 2016)


❑ Admission fee thereafter: USD1450 ❑ Table top exhibition package: USD2500


(Includes 1 delegate place) Total: _________ _________


_________ _________


Masterbatch Asia 2016 table top exhibition A limited number of table top exhibition spaces are available in the lobby next to the main meeting 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 events The social event organised for Masterbatch Asia 2016 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 17.50-19.30 and is included in the delegate fee.


Hotel accommodation Delegates are responsible for arranging their own hotel accommodation while attending the conference. AMI has negotiated a limited number of discounted rooms for attendees who make their reservations by 5th February 2016.


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. Masterbatch Asia 2016 to: National Westminster Bank Plc. Thornbury Branch, 16 The Plain, Thornbury, Bristol, BS99 5HD Account number: 140 0 03420760


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: _______________________________________________________


S$275 for a single room S$300 for a single room including breakfast and WI-FI


Please state that you are attending “AMI’s Masterbatch Asia 2016” conference when booking to receive the special rate.


A copy of the reservation link can be found below; https://aws.passkey.com/event/13914605/owner/1452331/home


Please be aware that the number of bedrooms at this special price are limited, so to avoid disappointment I would recommend you reserve your accommodation as soon as possible.


Cancellations Full refunds, less a cancellation charge of USD300 will only be made on cancellations received prior to 5th February 2016. 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


Tel: ____________________________ Fax: ____________________________ Email: ________________________________________________________ Fax back to: +44 (0) 117 311 1534 or Email: ab@amiplastics.com


ADELE BROWN, CONFERENCE MANAGER 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: ab@amiplastics.com Twitter: @AMIconferences #attendAMI


The latest programme, including any new speakers or changes to the schedule can be viewed on our website: www.amiconferences.com


MASTERBATCH ASIA 2016 CONFERENCE INFORMATION


Date and location 8-10 March 2016 Swissôtel The Stamford 2 Stamford Road Singapore 178882


Tel: +65 6338 8585 Fax: +65 6338 2862


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 29th January 2016 for only USD1320. 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.)


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