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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 All payments to be made in Sterling Please tick box and write amount:


q Early bird admission fee: (Until 24th February 2017)


q Admission fee thereafter: q Table top exhibition package:


(Includes 1 delegate place) *UK VAT charged at 20% Total: _________ Please note all delegates have to pay the VAT stated above.


METHOD OF PAYMENT You will be sent an invoice in 7-14 working days.


q Bank transfer quoting: ‘Your Invoice and A/C No. or Applied Market Information Ltd. - Plastic Pipes in Infrastructure 2017’ to: National Westminster Bank Plc. Thornbury Branch, 16 The Plain, Thornbury, Bristol, BS99 5HD Account number:03245756


Bank No.556138 IBAN:GB13 NWBK 5561 3803 2457 56 SWIFT:NWBKGB2L


q Pay 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:________________________________________________________


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 £890 + £178* = £1068 _________


£990 + £198* = £1188 _________ £1400 + £280*= £1680 _________


PLASTIC PIPES IN INFRASTRUCTURE 2017 CONFERENCE INFORMATION


Date and location 25-26 April 2017 Hilton Kensington 179-199 Holland Park Avenue London W11 4UL


Tel: +44 (0) 20 7603 3355 Fax: +44 (0) 20 7605 7677


Registration fee Register before 24th February for only £890*. The registration fee includes attendance at all conference sessions, the Networking Cocktail Reception, lunch and refreshment breaks on both days and a set of conference proceedings.


Table top exhibition A limited number of table top exhibition spaces are available in the registration area outside the 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 A variety of sponsorship opportunities are available at this event that can help to promote 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 Plastic Pipes in Infrastructure 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 booking their own accommodation. AMI has negotiated a limited number of rooms at the single occupancy rate of £129 (breakfast, Wi-Fi and taxes included) at the Hilton Kensington in London if booked before 24th March 2017. Accommodation may be booked via our personalised online booking area. Please visit www.amiconferences.com and go to the Accommodation tab of the event webpages.


Cancellations Full refunds, less a cancellation charge of £180 will only be made on cancellations received prior to 24th March 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.


*+20% UK VAT


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