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: _______________ First name: _________________________________ Surname: ______________________________________________________ Position: _______________________________________________________ Special dietary requirements: _______________________________________ Email: _________________________________________________________ Signature: ________________________ Date: ________________________


PAYMENT DETAILS All payments to be made in USD Please tick box and write amount:


❑ Early bird admission fee: (Until 22nd July 2016)


❑ Admission fee thereafter: USD1320 USD1450


❑ Table top exhibition package USD2750 (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 2016’ 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 2016 CONFERENCE INFORMATION


Date and location 22-23 September 2016


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 and refreshment breaks on all days and a set of conference proceedings.


• Early bird registration: Register before 22nd July 2016 for only USD1320. Thereafter the cost is USD450.


• 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 2016 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.


• Networking Cocktail Reception: A cocktail reception will be held after a day of conference sessions 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 Networking Cocktail Reception will run approximately from 18:30 to 20:00 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$250 (plus taxes) for a superior room and of S$280 (plus taxes) for a Deluxe room including breakfast and Wi-Fi.


To make a reservation, please contact Xavier Chua on Tel: + 65 6233 1381 Fax: +65 6233 1166


Email: xavier.chua@millenniumhotels.com or grprsvns.gcw@millenniumhotels.com


Please state that you will be attending “AMI’s Compounding World Asia 2016”, and note that after the 19th August 2016 the above rates and conditions might not be available, so please book early.


Alternatively, download a copy of the hotel booking form from the website www.amiconferences.com


Cancellations Full refunds, less a cancellation charge of USD300 will only be made on cancellations received prior to 19th August 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, sponsorship packages or Conference Dinner places.


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 Twitter: @AMIconferences #attendAMI


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


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