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to download the brochure and registation form (pdf) - IWMA

to download the brochure and registation form (pdf) - IWMA

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CabWire World<br />

Conference 2011<br />

Congress Center Düsseldorf, Germany<br />

7-8 November 2011<br />

Latest process <strong>and</strong> market developments<br />

a technical conference co-organised by:<br />

CONFERENCE REGISTRATION FORM<br />

Please print in CAPITALS:<br />

Company Name: ________________________________________________________________________________<br />

Address: ______________________________________________________________________________________<br />

Zip/Postcode: ________________________________ Country: _________________________________________<br />

Tel: ______________________________________<br />

Fax: ____________________________________________<br />

E-mail: ________________________________________________________________________________________<br />

Authorised Company Signature: ________________________________ Date: _______________________________<br />

REGISTRATION FEES Euro (before 31 July 2011) Euro (after 31 July 2011)<br />

Registration<br />

Member of Associations €160 €170<br />

7 November<br />

Non Member €180 €190<br />

Group Registration (Example) 10 for price of 9 €1,620 €1,710<br />

Students & Academics €80 €95<br />

Optional Plant Tours<br />

(limited availability)<br />

Must be pre-booked (not on sale at conference) €35 €40<br />

Table<strong>to</strong>p Exhibit<br />

Member of Associations & Speakers €550 €550<br />

(includes 1 full registration) Non Member €600 €600<br />

Table<strong>to</strong>p Exhibit<br />

Member of Associations & Speakers €350 €350<br />

(includes 1 full registration)<br />

Istanbul 09 Exhibi<strong>to</strong>r<br />

Non Member €400 €400<br />

SPECIAL GROUP DISCOUNT: all parties of 10 or more<br />

delegates qualify for one FREE registration<br />

Delegate Name: _____________________________________<br />

Family Name First Name Initial<br />

Delegate Name: _____________________________________<br />

Family Name First Name Initial<br />

Delegate Name: _____________________________________<br />

Family Name First Name Initial<br />

q WAI q <strong>IWMA</strong> q ACIMAF q IWCEA q CET Member<br />

(please tick only if applicable)<br />

Registration<br />

Table<br />

<strong>to</strong>p<br />

Exhibit<br />

Plant<br />

Tour A<br />

Ferrous<br />

Plant<br />

Tour B<br />

Non-Ferrous<br />

Association<br />

Member<br />

Non<br />

Member<br />

Total<br />

q q q q q q ______<br />

q q q q q ______<br />

q q q q q ______<br />

My main interest is: q Ferrous q Non-Ferrous<br />

GRAND TOTAL: €<br />

______<br />

PAYMENT OPTIONS<br />

All payments must be made <strong>to</strong> International Wire & Machinery Association <strong>and</strong> payable in <strong>the</strong> currency stated exclusive of bank<br />

<strong>and</strong> currency exchange charges <strong>and</strong> must be paid on or before 31 Oc<strong>to</strong>ber 2011<br />

q Payment by credit/debit card q Cheque Herewith q Please Invoice<br />

Please charge my: q Mastercard q American Express q Visa<br />

(Please note that credit card transactions will be conducted in Pounds Sterling (£) at current €/£ exchange rates)<br />

Card Number:<br />

Name on card:<br />

CVV:<br />

Signature of cardholder:<br />

Expiry date:<br />

PLEASE MAIL OR FAX THIS FORM TO: +44 1926 314755<br />

International Wire & Machinery Association, 46 Holly Walk, Leaming<strong>to</strong>n Spa, Warwickshire CV32 4HY, UK<br />

Tel: +44 1926 834680, Fax: +44 1926 314755, Email: info@iwma.org

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