DELEGATE REGISTRATION DETAILS
First name
Last name
Job Title
Email
Telephone
Fax
Company
Address
City
State
Zip
Country
EU Member?
Yes
No
VAT Intracom number (for EU Members)
FLIGHT DETAILS (optional)
Airline Company
Flight Number
Arrival date
Arrival time
Departure date
Departure time
PAYMENT
Select your rate :
Member (875€)
Non-Member (975€)
Exhibitor (995€)
Accompanying person
490 € Yes
No
Accompanying person's full name
Optional sightseeing
tour on 31 October
x 60 €
Voluntary Donation to IH&RA
Foundation For The Future (min. 10 € )
€
Bank Charges
15 €
VAT for EU countries
+ 19.6% unless
VAT Intracom number is communicated
Credit card:
American Express
Visa
Mastercard
Diners
Credit card number
Expiry date
