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Multiple Delegate Registration Form

This form is for registering multiple delegates from the same company. If you would like to register individual delegates, please use the conference registration form.

Click one of the passes below to book your conference pass. For multiple delegate bookings, select the pass and days you wish to attend for each delegate.

Bronze Pass

- Entry to Electric & Hybrid Industrial Vehicle Technology Conference 2017

- Access to conference proceedings from Electric & Hybrid Industrial Vehicle Technology Conference 2017

- Access to attendee and speaker networking information after the event

- Invitation to networking sessions

- Complimentary coffee, refreshments, and delegate dining

Gold Pass

- Gold Pass Gives You Unlimited Access to both Conferences



- Access to conference proceedings from both conferences

- Access to attendee and speaker networking information after the event

- Invitation to networking sessions

- Complimentary coffee, refreshments, and delegate dining

CLICK HERE TO RETURN BACK TO THE ELECTRIC & HYBRID INDUSTRIAL VEHICLE TECHNOLOGY SYMPOSIUM WEBSITE

Extra 15% discount for group bookings of 2+ delegates.*

*To receive the EXTRA 15% discount, each registration for a group booking must be made on the same date, from the same company.

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Company details
(* Required fields)
  • Company name
  • *
  • Company’s primary business activity
  • *
  • (other Business Activity)
  • *
Contact details for the person in charge of the booking
(* Required fields)
  • Salutation
  • *
  • First name (in full)
  • *
  • Family name (in full)
  • *
  • Job title
  • *
  • Job title category
  • *
  • (other Job Title Category)
  • *
    • Country
    • *
    • House number/Street address
    • *
    • Department/mailcode
    • Town/city
    • *
    • State
    • Post code/zip
    • *
    • Telephone
    • *
    • -
    • Fax
    • -
    • EmailEmail address must belong to the person in charge of the booking
    • *
    • Confirm email
    • *
    Delegates
    (Required fields)
    • #
    • Detail
    • Days attending
      14th  15th
    • 1
    •   Category:
      Email:    Telephone:
      Confirm email:
      Address differs from the person in charge of the booking?
      • Country
      • House number/Street address
      • Town/city
      • Post code/zip
    •    


    • 2
    •   Category:
      Email:    Telephone:
      Confirm email:
      Address differs from the person in charge of the booking?
      • Country
      • House number/Street address
      • Town/city
      • Post code/zip
    •    



    Add More Delegates Here
    Order details
    • Order total
    • Tax - 19%
    • Grand total - EUR
    Do you have a discount code for this conference?
    • Enter in the box on the right and click on "Apply Code"

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    Your payment details
    (* Required fields)
    • Card type
    • *
    • Start date
    • /
    • Card number
    • *
    • Expiry date
    • *
    • /
    • Cardholder name
    • *
    • Issue number
    • (Switch only)
    • Security code
    • *
    • What’s this?
    Billing addressPlease enter the address at which the card is registered
    (* Required fields)
    • Billing name
    • *
    • Town/city
    • *
    • Billing company
    • *
    • State
    • Country
    • *
    • Post code/zip
    • *
    • House Number/Street Address
    • *
    • Telephone
    • *
    • Email
    • *
    • Confirm email
    • *
    Other details If applicable
    • VAT reference number
    • Purchase order number
    Where did the delegates hear about the event?
    • Where did the delegates hear about this event?
    Would you like to opt-out of sharing your contact details with other delegates?
    Delegate contact details are shared with other delegates (and only delegates. No information will be shared with other companies for commercial purposes). If you wish your contact details to be confidential, please tick the box below.
    • Delegate 1 -

    • Delegate 2 -

    Further information
    • Delegate 1 -

    • Delegate 2 -

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    Do any of the delegates require a visa invitation?
      • Passport number
      • *
      • Passport start date
      • *
      • (dd/mm/yyyy)
      • Passport end date
      • *
      • (dd/mm/yyyy)
      • Date of birth
      • *
      • (dd/mm/yyyy)
      • Business email
      • *
      • (free email services e.g. Hotmail, Gmail, Yahoo not accepted)
      • Business website
      • (If you do not have a company website, please provide European or American trading partner details for reference)
      • Passport number
      • *
      • Passport start date
      • *
      • (dd/mm/yyyy)
      • Passport end date
      • *
      • (dd/mm/yyyy)
      • Date of birth
      • *
      • (dd/mm/yyyy)
      • Business email
      • *
      • (free email services e.g. Hotmail, Gmail, Yahoo not accepted)
      • Business website
      • (If you do not have a company website, please provide European or American trading partner details for reference)

    If you require a visa, request your visa invitation letter NOW and your request will be dealt with within seven days. For all visa enquiries, please email Tammie Atkins at visa@ukimediaevents.com or call her on +44 1306 743 744.

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    We accept the following cards:
    We accept Delta, Mastercard, Solo, Switch, Maestro, Visa, Visa Debit