Monetizing The Digital Car Virtual Live 2021 Multiple Delegate Registration

Company details

(* Required fields)

Company name
*

Company’s primary business activity
*

(other Business Activity)
*

Contact details for the person in charge of the booking

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
*

Postcode/ZIP
*

Telephone
*
-

Mobile
*
-

Fax
-

EmailEmail address must belong to the person in charge of the booking
*

Confirm email
*

I wish to have a delegate pass myself. This will populate the first person on the delegate list with the details above.

Delegates

1
  Category:

Telephone:    Mobile:

Email:    Confirm email:
Address differs from the person in charge of the booking?
- Country
- House number/Street
- Address
- Town/City
- Postcode/ZIP
Choose 2 days

2
  Category:

Telephone:    Mobile:

Email:    Confirm email:
Address differs from the person in charge of the booking?
- Country
- House number/Street
- Address
- Town/City
- Postcode/ZIP
Choose 2 days

Add More Delegates Here

Order details

Order total
Tax - 20%
Grand total - EUR

Multiple delegate discount applied

Do you have a discount code for this conference?

Enter in the box on the right and click on 'Apply Code'
Reset

Your payment methodPlease select one

Pay by credit card NOW

Your payment details

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

Tick this box if your billing address is the same as that of person in charge of the booking. Fields can be amended if required.

Billing name
*
Town/City
*

Billing company
*
State

Country
*
Postcode/ZIP
*

House number/Street
*
Telephone
*

Address
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?
LinkedIn
Twitter
Facebook

Do any of the delegates require a visa invitation?

Delegate 1 -
- Passport number
- *
- Passport start date
- *
- (mm/dd/yyyy)
- Passport end date
- *
- (mm/dd/yyyy)
- Date of birth
- *
- (mm/dd/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)
Delegate 2 -
- Passport number
- *
- Passport start date
- *
- (mm/dd/yyyy)
- Passport end date
- *
- (mm/dd/yyyy)
- Date of birth
- *
- (mm/dd/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 inquiries, please email visa@ukimediaevents.com.

Data Share

I consent to my personal contact details being shared with conference participants including sponsors and speakers.

Delegate 1 -
- I would like to share my contact details
Delegate 2 -
- I would like to share my contact details

Terms and conditions

I confirm that I have read and that I agree to the UKi Media & Events terms and conditions

Disclaimer

At our events your delegate badge may, with your permission, be scanned by sponsor or exhibiting companies in the exhibition hall. If you allow your badge to be scanned, you agree for those companies to contact you about their products, events and services – some of which may be promotional in nature. This may affect any previous permissions you may have given when registering for the event.

If you attend a session as part of an event and you agree to your delegate badge being scanned by us at that session, we may share your registration details with the seminar / conference theatre sponsors of the sessions you attend. They may contact you about similar products, events and services related to your area of interest.

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By completing and submitting this form, you understand and agree that the publisher and event organizer UKi Media & Events, a division of UKIP Media & Events Ltd, may use your personal data in accordance with our privacy policy which may be viewed on our website www.ukimediaevents.com.

We accept the following cards:

We accept Delta, Mastercard, Solo, Switch, Maestro, Visa, Visa Debit

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.

Please be aware that you have not opted-in in any way for us to contact you.