PLEASE COMPLETE IN BLOCK CAPITALS REGISTRATION FORM
Register online
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/EXHIBITOR DETAILS Title: Mr/Mrs/Dr/Other: ________________________________________ First name: ____________________________________________________ Surname: ______________________________________________________ Position: _______________________________________________________ Email: ________________________________________________________ Special dietary requirements: ____________________________________ Signature: ________________________ Date:_______________________
Please confirm that you agree to your name being published alongside your company name and job title on the delegate list. q Yes q No
By registering for this event (please tick these boxes);
q I agree to AMI’s Privacy Policy (
www.ami.international/about/legal) q I agree to AMI’s Terms & Conditions (
www.ami.international/about/tac)
PARTICIPATION q Early Booking Delegate Admission Fee:
(Until November 15, 2019) q Delegate Admission Fee:
q Exhibition Space: q Golf tournament
(Includes the greens fee, cart rental, continental breakfast, and lunch.)
q Golf clubs
(Please write LEFT or RIGHT handed) q Golf handicap
$40.00
__________ __________
Total: ___________
METHOD OF PAYMENT You will be sent an invoice in 7-14 working days.
q Pay by Credit Card by registering online:
Alternatively, please provide your contact details and we will send you a link to a secure payment gateway via email.
Name:_______________________________________________________________ Email:_______________________________________________________________
q Bank transfer quoting: ‘Your invoice and A/C No.’ Account number: 2000030701584 Routing number: 121000248
THERMOPLASTIC CONCENTRATES 2020 CONFERENCE INFORMATION
January 28-30, 2020 Ft. Lauderdale Marriott Coral Springs Golf Resort 11775 Heron Bay Boulevard Coral Springs, FL 33076 USA Tel: +1 954 753 5598
HOTEL ACCOMMODATION Delegates are responsible for booking their own accommodation. We have negotiated a room rate of $169 plus tax per night at the Ft. Lauderdale Marriott Coral Springs Golf Resort in Coral Springs, FL until January 6, 2020. To make a reservation, please contact the hotel’s reservation department at +1 954 753 5598 and indicate that you will be attending “AMI’s Thermoplastic Concentrates 2020 conference” to qualify for the special room rate. The hotel is guaranteed for a limited number of rooms so do not delay in making your reservation for a room at the conference location.
You may also make your reservation using the direct hyperlink which can be found on our website
www.ami.international/events (click on ‘Thermoplastic Concentrates 2020’ followed by Accommodation).
PARTICIPATION OPPORTUNITIES Delegate registration: includes attendance at all conference sessions, a set of conference proceedings, entrance into the Networking Cocktail Reception, lunch and coffee breaks.
Sponsor this event: maximize your company profile before, during and after the event by becoming a sponsor. For further information, please contact the Conference Organizer.
Exhibition space: an excellent way to enhance your business opportunities and make it easy for delegates to find you! Includes: • entry for one representative from your company • one exhibition space in the networking area • your company profile in the conference proceedings • new and existing product display • handing out brochures and promotional items from your stand
Price $1,190.00 $1,490.00
$2,290.00 $99.00
Spaces are allocated on a first-come, first-served basis and sell quickly.
Group discounts: when registering as a group you may be entitled to discounts. Contact the Conference Organizer for more information.
Golf Tournament sponsored by OMYA The scramble format golf tournament will begin on Tuesday at 8AM with a shotgun start. Teams of four will be assigned to maximize networking opportunities. Cost is $99 per golfer. This includes the greens fee, cart rental, continental breakfast, and lunch. Clubs are available for an additional $40 if needed. Limited entry is available so register as soon as possible. Prizes will be awarded to the winning team and winners of on-course contests!
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.
CANCELLATIONS Full refunds, less a cancellation charge of $300 will be made on
cancellations received prior to November 15, 2019. 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 spaces or sponsorship packages at any time.
CONFERENCE HOTLINE SWIFT: WFBIUS6S
Note: You are responsible for any bank charges involved with the transaction q By Check: Made payable to “Applied Market Information LLC”
STEPHANIE HUME, SENIOR CONFERENCE COORDINATOR AMI Third Floor, One Brunswick Square, Bristol, BS2 8PE, United Kingdom Registered in England No: 2140318 Tel: +44 (0) 117 314 8111 Email:
stephanie.hume@
ami.international
The latest program, including any new speakers, changes to the schedule, and any amendments to pricing and terms and conditions can be viewed on our website:
www.ami.international
Bringing the plastics industry together. @Contact_AMI #AMITCUS
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