YES! Please register the following delegates for Latin America Assembly
25 – 26 January 2012 The Hilton Bogotá, Colombia
1. CHOOSE YOUR REGISTRATION TYPE Delegate rates 2 Day Full Access Conference Pass One Day Conference Pass
3 Person Delegation Package Three 2 Day Full Access Passes
5 Person Delegation Package Five 2 Day Full Access Passes
Exhibition Package Exhibition Stand plus Two 2 Day Full Access Passes
2. PROVIDE US WITH THE DELEGATE DETAILS Please photocopy for multiple registrations Mr/Mrs/Dr/Prof: Job title/Position:
Address: City:
Postal code: Phone: ( Email:
)
Authorising manager: Date:
3. PROVIDE US WITH INVOICE CONTACT & PAYMENT DETAILS Bank transfer
Credit card Credit card number:
Credit card type: CVC:
Cardholder’s name: Cardholder’s signature: Contact person for invoicing: Organisation purchase order number: Name: Email: Phone: (
) - Expiry date: - -
Register before 14 October 2011
$1,495
Save $600 $1,295
Save $200 $4,000
Save $2,000 $7,000
Save $3,000 $6,000
Register before 14 December 2011
$1,595
Save $500 $1,295
Save $200 $4,500
Save $1,500 $7,500
Save $2,500 $6,500
Register before 13 January 2012
$1,795
Save $300 $1,295
Save $200 $5,200
Save $800 $8,000
Save $2,000 $7,000
Register before 24 January 2012
$1,895
Save $200 $1,295
Save $200 $5,500
Save $500 $9,000
Save $1,000 $7,500
Onsite rate $2,095 $1,495 $6,000 $10,000 N/A
Book early and save
Delegate name: Organisation name: State:
Country: Fax: (
) Authorising signature: I agree to the full Terms and Conditions
5. CONTACT US Phone: +44 (0) 207 067 1873 | Fax: +44 (0) 203 163 0626
Fax: ( ) 4. SEND US YOUR COMPLETED FORM - 4 easy ways to register
1. Phone: +44 (0) 207 067 1873 2. Fax: +44 (0) 203 163 0626 3. Email:
drake.lawhead@
oilcouncil.com 4. Online:
www.oilcouncil.com
TERMS AND CONDITIONS
What is included in the fee? Access to all presentations and networking opportunities; All food and refreshments during the conference sessions (excludes evening meals); All post conference presentation slides and notes for training purposes; Access to international subject matter experts; Access to exhibition room; On-site assistance with networking; Pass to attend the hosted drinks reception (where applicable) When do I pay? Payment of the full delegate fee is due 14 days from the invoice date, or immediately with registration if the booking is made within one month of the event. In the event that payment has not been received before the start of the event, delegates will be refused entry. We recommend you check with your finance department that payment has been made before travelling to the conference. Cancellation policy: Cancellations received in writing more than two months prior to the start of the event will be refunded less a 50% cancellation fee. Cancellations received in writing within two months of the start date of the event will receive no refund and registrants will be liable for payment of 100% of the invoiced amount. A substitute delegate can be named at any time before the event starts and no fees will be applied to this. Important notes: This booking form constitutes a legally binding contract. It maybe necessary for reasons beyond the control of Clarion Events to change the content and timing of the programme, the speakers, the date or the venue. In the unlikely event of the programme being cancelled, The Oil Council and Clarion Events will issue a credit note or make a full refund but disclaim any further liability. By submitting your details, you agree to the use of your personal information as set out in our privacy policy on
www.clarionevents.com/?page=privacy
Ross Stewart Campbell, CEO
ross.campbell@
oilcouncil.com Drake Lawhead, VP, Production, Content, and Latin America
drake.lawhead@
oilcouncil.com Vikash Magdani, Executive Vice President, Corporate Development
vikash.magdani@
oilcouncil.com Laurent Lafont, VP, Business Development
laurent.lafont@
oilcouncil.com Amir Shirkhan, VP, Sales
amir.shirkhan@
oilcouncil.com Ken Lovegrove, VP, Delegate Registrations
ken.Lovegrove@oilcouncil.com
EVENT LOCATION
The Hilton Bogotá, Carrera 7, No. 72-41 Bogotá, Colombia 00000 T: +57-1-600-6100
6
www.oilcouncil.com/event/latam
drake.lawhead@
oilcouncil.com
T: +44 (0) 207 067 1873
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