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: ________________________ By registering for this event I am agreeing to my details being used by AMI. Please note that we do not pass details to any 3rd parties.
PARTICIPATION
Select a delegate option: q Early bird admission fee:
(Until 28th July 2017) q Full admission fee:
Upgrade your booking to include: q Exhibition Space:
USD1320 USD1550 _________ _________
COMPOUNDING WORLD ASIA 2017 CONFERENCE INFORMATION
Date and location 21-22 September 2017 Grand Copthorne Waterfront Hotel 392 Havelock Road Singapore, 169663
Tel: + 65 6733 0880 Fax: + 65 6737 8880
PARTICIPATION OPPORTUNITIES The registration fee includes attendance at all conference sessions, a set of conference proceedings, entrance into the Networking Cocktail Reception, lunch and refreshment breaks.
Registration fee • Early bird offer: Register by 28th July 2017 for USD1,320. • Full price: Register after 28th July 2017 at the price of USD1,550. • Exhibition space: Upgrade to an exhibition space for USD1,430. • Group discounts: When registering as a group you may be entitled to discounts. Contact Giulia Esposito, Senior Conference Organiser for more information.
Exhibition space The exhibition is an excellent way to enhance your business opportunities and makes it easy for delegates to find you! The upgrade allows you to:
• Have an exhibition space in the networking area throughout the conference (includes 1 table, 2 chairs and a power supply)
• Include your company profile in the printed proceedings • Display new and existing products • Hand out brochures and promotional items to attendees from your stand
Spaces are allocated on a first-come-first-served basis and sell quickly. Add an exhibition space onto your delegate registration as an upgrade.
Social Event The social event organised for Compounding World 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.
USD1430 _________ Total: ________
Please note upgrades can only be booked with a delegate place All payments to be made in USD
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 18th August 2017.
To make a reservation, please contact Ms. Olive Cheng on: Tel: + 65 6233 1381 Fax: +65 6233 1166 Email:
grprsvns.gcw@millenniumhotels.com
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. - Compounding World Asia 2017’ to: National Westminster Bank Plc. Thornbury Branch, 16 the Plain, Thornbury, Bristol, BS99 5HD Account number:140 01 03420760
IBAN:: GB62 NWBK 6073 0103 420760
Bank No.55 61 38 SWIFT:NWBKGB2L
q Pay by Credit Card We accept: Visa / Mastercard Please provide your contact details and we will send you a link to a secure payment gateway via email.
Name:________________________________________________________ Email:________________________________________________________
CANCELLATIONS Full refunds, less a cancellation charge of USD300 will only be made on cancellations received prior to 25th August 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 exhibition upgrades or sponsorship packages.
CONFERENCE HOTLINE
GIULIA ESPOSITO, SENIOR CONFERENCE ORGANISER Applied Market Information Ltd. 6 Pritchard Street, Bristol, BS2 8RH, United Kingdom Registered in England No: 2140318 Tel: +44 (0) 117 314 8111 Fax: +44 (0) 117 311 1534 Email:
ge@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:
ge@amiplastics.com
PM
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