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Event Registration Form

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Register me for :(View Prices)*  
Two-Day Forum : Tuesday, Wednesday 27- 28 January 2009
Pre - Forum Workshop A : Sunday, 25 January 2009
Pre - Forum Workshop B : Monday, 26 January 2009
Post - Forum Workshop C : Thursday, 29 January 2009
CLICK HERE TO AUTO FILL THE FORM
Special Symposium Day :
  Tuesday, 27 January 2009
VIP Number
Your VIP code is a five letter code (eg. VPZQG) that can be found on the promotional piece you have received (brochure, catalogue, fax, email).
How did you hear about this event?
Prefix*
First Name*
Last Name*
Job Title
Department
Company Name
Email*
I would like to receive information about future events & services via email.
  Yes
Phone
Fax
Approving Manager
Company Address
City
PO Box
Country
Company Size
Industry
PAYMENT METHOD:
A confirmation letter and invoice will be sent upon receipt of your registration. Please note that full payment must be received prior to the event. Only those delegates whose fees have been paid in full will be admitted to the event.

Payment by company cheques or bankers draft must be in UAE Dirhams or US Dollars. Please note that all US cheques and bankers drafts should be drawn on a New York bank and an extra amount of US$6 per payment should be added to cover bank clearing charges.

All payments should be in favour of IIR Holdings Ltd.
NOTE: If payment through Credit Card, please fill in the Credit Card Information section below. This form is sent through a Secure Server. Credit Card transactions will be processed in UAE Dirhams at the exchange rate of US$1 = Dhs 3.67242. Credit Cards denominated in currencies besides UAE Dirhams will be charged as per issuing bank conversion rate.

Payment Method
by Credit Card
by Company Cheque
by Bank Transfer
by Bank Draft
Credit Card Information :
Name on Credit Card
*
Credit Card Type
Credit Card Number
*
Billing Address
*
Credit Card Expires On
*
Comments/Questions
Do you want your details to be remembered?
 

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