PLEASE COMPLETE IN BLOCK CAPITALS REGISTRATION FORM
Register online
Company: _____________________________________________________ Address: ______________________________________________________ _______________________________________________________________ Country: _______________________________________________________ Tel: ____________________________ Fax: ___________________________ Company activity: _____________________________________________ Purchase order no. (if applicable): ___________________________________ Invoice address (if different from above): _________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________
DELEGATE/EXHIBITOR DETAILS Title: Mr/Mrs/Dr/Other: ________________________________________ First name: ____________________________________________________ Surname:
TECHNICAL COMPOUNDS FORUM 2019 CONFERENCE INFORMATION
December 3-4, 2019 Renaissance Tampa International Plaza Hotel, 4200 Jim Walter Boulevard Tampa, FL 33607 USA Tel: +1 813 877 9200
HOTEL ACCOMMODATION Delegates are responsible for booking their own accommodation. We have
negotiated a room rate of $189 plus tax per night at the Renaissance Tampa International Plaza Hotel in Tampa, Florida until November 8, 2019. To make a reservation, please contact the hotel’s reservation department at +1 813 877 9200 and indicate that you will be attending “AMI’s Technical Compounds Forum 2019 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.
_______________________________________________
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 October 11, 2019) q Delegate Admission Fee:
Price $1190.00 $1490.00
Please make your reservation using the direct hyperlink which can be found on our website
www.ami.international/events (click on ‘Technical Compounds Forum’ 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 Coordinator.
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
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.
q Exhibition Space: $2490.00 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
CONFERENCE HOTLINE
KELLY DEFINO, CONFERENCE TEAM MANAGER USA AMI 96 Commerce Drive, PMB173, Wyomissing, PA 19610, USA Tel: +1 610 478 0800 Email:
kelly.defino@
ami.international
SWIFT: WFBIUS6S
Note: You are responsible for any bank charges involved with the transaction q By Check: Made payable to “Applied Market Information LLC”
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
CANCELLATIONS Full refunds, less a cancellation charge of $300 will be made on cancellations
received prior to October 4, 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.
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.
Bringing the plastics industry together.
@Contact_AMI #AMITCF
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