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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 Autonomous Vehicle Software Symposium 2017

- Access to presentation slides from Autonomous Vehicle Software Symposium 2017

- Access to attendee and speaker networking information before and after the event

- Networking drinks on Wednesday 21st June

- VIP delegate and speaker dining

Silver Pass

- Entry to Autonomous Vehicle Software Symposium + 1 other conference

Please select a 2nd conference using the logos below:

- Access to presentation slides from Autonomous Vehicle Software Symposium and Autonomous Vehicle Test & Development Symposium

- Access to Autonomous Vehicle Software Symposium and Autonomous Vehicle Test & Development Symposium attendee and speaker networking information before and after the event

- Networking drinks reception on Wednesday 21st June

- VIP delegate and speaker dining

Gold Pass

- Gold Pass Gives You Unlimited Access to all three Conferences



- Access to presentations slides from all three conferences
- Access to attendee and speaker networking information before and after event
- Networking drinks on Wednesday 21st June
- VIP delegate and speaker dining

Extra 10% discount for group bookings of 2+ delegates.*

*To receive the EXTRA 10% 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
    • Postal code/zip
    • *
    • Telephone
    • *
    • -
    • Fax
    • -
    • EmailEmail address must belong to the person in charge of the booking
    • *
    • Confirm Email
    • *
    Delegates
    (Required fields)
    • #
    • Detail
    • Days attending
      20th  21st  22nd
    • 1
    •   Category:
      Email:    Telephone:
      Confirm Email:
      Address differs from the person in charge of the booking?
      • Country
      • House Number/Street Address
      • Town/city
      • Postal 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
      • Postal 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"

    • Reset
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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 -

    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 (0) 1306 743 744.

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