Europartners Tenth Electronic Component Distribution Forum 2006
23rd and 24th May 2006, Palais des Congrès, Paris
 


Booking Form
 

Please book my place and pre-register me for the 2006 Europartners Forum. 

(Indicates required fields)

First Name:     

Surname:   

Job Title:   

Company Name:  

Address:    

                   

County/State      

Country     

E-mail:     

   Phone:            

   Fax:        

Company Website URL:   
(enter "None" if your company does not yet have a website)

 

My company's business activity is: (tick one) 

     component manufacturing

     component distribution

     equipment manufacturing

     contract assembly

     other (please specify)  

Comments :


Payment Details

Select the appropriate table and numbers within it, and complete the column corresponding to the currency in which you wish to pay...

The above company is paying for the delegates listed below, at the standard rate:

EUR

GBP

ONE

Main Delegate only at registration fee €1500 EUR  / £1020 GBP
Additional Delegates at registration fee per head €1250 EUR  / £850 GBP
Additional Dinner Guest(s) at €150 EUR  / £105 GBP  each
 

TOTAL AMOUNT

EU companies, enter your VAT registration number :

There will not be any payment facilities at the Conference itself.

If you have been given a "Recommended Delegate" code,
please enter it here:

An invoice will be sent with instructions for payment.

Cancellations and Substitutions : You may make a delegate substitution at any time. A 100% refund will be made for cancellations received before 31 March 2006. A 50% refund will be made for cancellations received before 30 April 2006. Thereafter we regret that no refund is possible.

                                     

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