Conference Registration

Page 1

BOOKING CONTACT AND COMPANY DETAILS

The following details are required for administrative purposes.You will be required to fill in registration details of each delegate you register on page 2.

Registration Sponsor

Salutation:

First Name:

Last Name:

Email:

Telephone:

Company:

Job Title:

Street:

State:

Town/City:

Country:

Post/Zip Code:

VAT Registered

Yes No

VAT No

Which best describes the industry your company operates in?

Select Number of Delegate Places (up to 5 bookings online)

USD Rate

Quantity

USD Total

Strategic Conference On-Demand Pass

USD

Technical Conference On-Demand Pass

USD

Technical Conference Programme

(SPE Member)

USD

Technical Program Speakers and Committee Members

USD

Total Quantity

Subtotal USD

Total Price USD

If you have 6 or more delegates to register then please email us at adipec.delegate@dmgevents.com or call +971 2 444 4909

Page 2

DELEGATE REGISTRATION DETAILS

Salutation:

First Name:

Last Name:

Email:

Telephone:

Job Title:

Company:

Upload Image - A passport photo is required in order to "It is a mandatory requirement for all badge types at ADIPEC to feature a passport size photograph. Please Upload a current photograph in JPG format, labelled with your name. The file must be less than 2MB in size."

Passport Number:

Which industry does this DELEGATE operate in?

Which sector is this DELEGATE'S main focus related to?

What is your job function?

Are you involved in making any purchasing decisions?

To What extent?

What most influenced you to register for this event?

PAYMENT OPTION

Credit/Debit Card (Receipt will be emailed on completion of payment)

By clicking the “Submit” button after your payment selection has been made, you are agreeing to the booking terms & conditions.

You will be taken to a secure card payment screen after clicking Submit.

Please email adipec.delegate@dmgevents.com for issues / queries with your booking.

From time to time we would like to contact you about our products and services, as well as other content that may be of interest to you. By Submitting this form, you consent to allow dmg events to store and process your personal information. If you wish to opt out, please tick the boxes below:

I wish to opt out of updates from ADIPEC Event which include programme updates, promotions and more.

I wish to opt out of updates of all the events by dmg events as well as products & services by 3rd parties related to those events.

Delegates will be given a free subscription to the official media titles of ADIPEC 2020, including the Official Show Daily Partner, if you would like to opt out please tick here.

Please select below for a free trial subscription to the following:

I wish to receive Pipeline Oil & Gas Magazine

Contact Information