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PLEASE PRINT OUT FORM AND COMPLETE IN BLOCK CAPITALS


Click here for a PDF of the brochure REGISTRATION FORM


Company: ____________________________________________________ Address: _______________________________________________________ ______________________________________________________________ Country: _______________________________________________________ Tel: ____________________________ Fax:____________________________


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: Mr/Mrs/Dr/Other First name: Surname: Position: Email: Special dietary requirements: Signature: ________________________ Date: ________________________


PAYMENT DETAILS


(Until 16th December 2016) q Admission fee thereafter: q Table top exhibition package


(includes 1 delegate place) Total: _________ METHOD OF PAYMENT DETAILS


You will be sent an invoice in 7-14 working days. qBank transfer quoting: ‘‘Your Invoice and A/C No. or ‘Applied Market Information Ltd. - Masterbatch Asia 2017’to: National Westminster Bank Plc. Thornbury Branch, 16 The Plain, Thornbury, Bristol, BS99 5HD


Account number:140 01 03420760 Bank No.55 61 38


IBAN:GB62 NWBK 6073 0103 420760 SWIFT:NWBKGB2L qPay by Credit Card We accept: Visa / Mastercard / Maestro/ JCB


Please provide your contact details and we will send you a link to a secure payment gateway via email. Name: Email:


All payments to be made in USD


Please tick box and write amount: q Early bird admission fee:


USD1320 _________


USD1550 _________ USD2500 _________


MASTERBATCH ASIA 2017 CONFERENCE INFORMATION


Date and location 21-22 March 2017 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 Networking Cocktail Reception, lunch, refreshment breaks and a set of conference proceedings.


• Early bird registration: Register before 16th December 2016 for only USD1320. Thereafter the cost is USD1550.


• Group rates: For delegates,


companies wishing to register group discounts are available. Conference Organiser for more details. two or more


Please contact the (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.)


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 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 events organised for Masterbatch Asia 2017 will provide an ideal setting for delegates and speakers to mix business with pleasure.


• Networking Cocktail Reception: A networking cocktail reception will be held on the first evening. This offers an excellent opportunity for


delegates to meet with speakers and other colleagues. All delegates are invited to attend and admission is included in the delegate fee.


Hotel accommodation Delegates are responsible for arranging their own hotel accommodation whilst attending the conference. AMI have reserved a limited number of rooms for delegates at the Grand Copthorne Waterfront Hotel, at the rate of S$250 (plus taxes) for a Superior room and of S$280 (plus taxes) for a Deluxe room, including breakfast and Wi-Fi. Please note that the above rates and conditions will expire on Friday 17th February 2017 so please book early.


To make a reservation, please contact Ms. Sabrina Tan on: Tel: + 65 6233 1301 Fax: +65 6233 1166 Email: grprsvns.gcw@millenniumhotels.com


Cancellations Full refunds, less a cancellation charge of USD300 will only be made on cancellations received prior to 17th February 2017. 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 at any time.


CONFERENCE HOTLINE


NICOLA CHARLESWORTH, 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: nc@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


Fax back to: +44 (0) 117 311 1534 or Email: nc@amiplastics.com


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