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DATE AND LOCATION: September 13-14, 2016 Crowne Plaza Boston-Woburn 15 Middlesex Canal Park Woburn, MA 01801, USA Tel: +1 781 935 8760


Image courtesy of: Crowne Plaza Boston-Woburn


HOTEL ACCOMMODATION The conference fee does not include lodging. We have negotiated a special rate of $145 plus tax per night at the Crowne Plaza Boston-Woburn. To make a reservation, please contact the hotel’s reservation department at +1 781 935 8760 by August 22, 2016 and indicate that you will be attending “AMI’s Medical Tubing 2016 conference” to qualify for the special room rate. The hotel rate is guaranteed for a limited number of rooms so do not delay in making your reservation for a room at the conference location.


REGISTRATION FEE Register before June 10, 2016 for only $990. Thereafter, the fee will be $1290. Registration includes all sessions, conference proceedings, cocktail reception, luncheons, and break refreshments.


GROUP RATES For companies wishing to register two or more delegates, group discounts are available. Please contact the Conference Coordinator for more details.


SPONSOR THIS EVENT AND PROMOTE YOUR COMPANY AMI events are more than just arenas for listening and networking. They also represent highly targeted opportunities to enhance your image and promote your products and services to an international audience.


Each event offers the following unique awareness building opportunities: sponsorship of the welcome cocktail reception, lunches, coffee breaks, and much more. For further information please contact the Conference Coordinator at +1 610 478 0800.


EXHIBITION PACKAGE This package includes an exhibition space in the conference room where we will be hosting registration, the cocktail reception and coffee breaks, giving exhibitors maximum exposure. It also includes 1 free delegate place. Exhibitors may either use tables provided by the hotel or bring their own stand or display. A limited number of tables are available and are assigned on a first come, first serve basis. The cost of this package is $1,990. Please note: When applicable, exhibitors are responsible for any electricity and/ or handling fees involved with their booth. For further information please contact the Conference Coordinator.


SOCIAL EVENTS The social events organized for AMI's Medical Tubing 2016 will provide an ideal setting for delegates and speakers to mix business with pleasure. On the first evening, everyone is warmly invited to attend the cocktail reception.


SUBSTITUTIONS / CANCELLATIONS Delegates may be substituted at any time at no charge. We ask that you provide ample notification of substitution in order that materials can be prepared. Full refunds, less an administrative charge of $200 will only be made on cancellations received prior to June 10, 2016. We regret that we cannot make refunds on cancellations received after this date or for no- shows at the conference. Please note that refunds cannot be made on table top bookings or sponsorship packages.


FAX FORM TO: +1 610 478 0900


CONFERENCE HOTLINE Ms. Stephanie Berchem, Conference Coordinator Applied Market Information LLC


Follow us on Twitter: @AMIconferences #attendAMI


Please make copies of this registration form for others to use or download a PDF file copy of the brochure from our web site at www.amiplastics-na.com


REGISTRATION FORM


Medical Tubing 2016 September 13-14, 2016 Crowne Plaza Boston-Woburn Woburn, MA 01801, USA


Company: ______________________________________________ Address: _______________________________________________ _______________________________________________________ Tel:_______________________ Fax: _________________________ Company activity: _______________________________________


Delegate Details If more than one delegate please photocopy form Title: _______________First name:__________________________ Surname: ______________________________________________ Position: _______________________________________________ Email: __________________________________________________ Special dietary requirements: ______________________________


Payment Details Please make payments in US Dollars ($) q


Delegate fee q q


(before June 10, 2016) Delegate fee


(thereafter) Exhibition package


(includes exhibition space and one delegate space)


Total: ___________


Method of Payment Payment terms are NET 30


q q q


By Check: In US Dollars ($), made payable to “Applied Market Information LLC”


Bank Transfer: Please call or email for banking information. Note: You are responsible for any bank charges involved with the transaction.


Visa/Mastercard/Amex My card number is: Tel: +1 610 478 0800


1210 Broadcasting Road, Suite #103 Fax: +1 610 478 0900 Wyomissing, PA 19610, USA


Email: sb@amiplastics-na.com


Name of cardholder: _____________________________________ Expiration date: _____________________Security code:_________ Billing address:__________________________________________ __________________________________Zip code:____________ Cardholder’s signature: ___________________________________ Date: __________________________________________________ Invoice email (if different from above):________________________


$1990 ___________


$990 ___________ $1290 ___________


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