Register for Cemtech Middle East & Africa 2016

Please complete the details below as fully as possible in order to fulfill your Sales Order. Click on the confirmation button at the bottom of the form to check your details and securely send the order to be processed.

You can choose to pay by Invoice/Bank transfer. However, immediate secure credit card payment is also available with Visa, Mastercard and American Express.

Booking for 3 or more delegates benefit from a 10% discount.

Warning: Do not leave blank fields for delegate names. Names can be changed later without penalty. Otherwise please book later, when you know the name of all your delegate(s).

YOUR INVOICE DETAILS - All items must be completed.

Title: (Mr/Mrs..)*

First Name:*

Family Name:*

Job Title:

Nature of Business:*

Company Name:*

Address Line 1:*

Address Line 2:

City:*

State/Region

Country:*

Post Code:*

Tel:

Fax:

Email:*

Confirm Email:*

Your VAT number (if applicable)

Any promotion code?:

Any other information?:

DELEGATE DETAILS - All items must be completed.

Click HERE if the delegate address is the same as the invoice address.

Title: (Mr/Mrs..)*

First Name:*

Family Name:*

Job Title:

Nature of Business:

Company Name:*

Address Line 1:*

Address Line 2:

City:*

State/Region

Country:*

Post Code:*

Tel:

Fax:

Email:*

Confirm Email:*

ADDITIONAL DELEGATES

Marketing Permissions

Tradeship Publications Ltd will use the information you provide on this form to be in touch with you and to provide updates and marketing. Please let us know all the ways you would like to hear from us:

Email:

Direct Mail:

ORDER DETAILS

Cemtech Middle East & Africa 2016

Delegate Rate (GBP₤965 , USD$1495 , EURO€1325 + 0% vat)

Number of delegates: 1 Total Price (GBP₤965.00 , USD$1495.00 , EURO€1325.00 + 0% vat)

PAYMENT DETAILS

Please choose your preferred currency for your payment:

Register for Conference