Registration form for 201 Annual Conference, Budapest, 13 15 September 2017 – Please complete by either selecting from drop-down or completing text entry, save as pdf email to Sandy Dunlop at GPA Administration Office admin@gpaeurope.com You may need to Editing” “Allow Title First Name Family/Surname Invoice Company GPA E Member? Job Title YP Discount Applicable? Preferred Name Preferred Company Name on on Badge Badge Invoice Address 1 YP Discount available to Engineers with less than 5 years’ experience Invoice Address 2 Preferred Currency Invoice Town Dietary Requirements Invoice Other Special Requirements Region/State Invoice Zip/Post Email Code Invoice Country Phone (inc. Country Code) Companion’s Full Name Attending Companions Tour? Package Selected Two Nights One No Nights (See Conference Details) Accommodation (night of) 13 Sept inc. 14 Sept inc. 13 Sept 14 Sept Double/Single Additional Accommodation Required 10 Sept 11 Sept 12 Sept 15 Sept 16 Sept 17 Sept These will be requested but are not guaranteed until confirmed by hotel Other Nights Required Please Provide Details Payment Method PayPal Credit Card American Express Bank Transfer To pay by Credit Card or American Express, please send form and call Administration Office with CC details. Payment will be taken in Sterling. Do not send CC detail by email or fax. If you wish to pay by Bank Transfer, please advise GPA Europe who will provide an invoice with full bank details. Please confirm whether you wish to pay in Sterling or Euros. Cheques are no longer accepted for Payment Please note GPA Europe cannot accept any bank charges on money transfers.
Registration form for 201 Annual Conference, Budapest, 13 – 15 September 2017 Please complete by either selecting from drop-down or completing text entry, save as pdf email to Sandy Dunlop at GPA Administration Office admin@gpaeurope.com You may need to “Allow Editing” Title First Name Family/Surname Invoice Company GPA E Member? Job Title YP Discount Applicable? Preferred Name on Badge Preferred Company Name on Badge Invoice Address 1 YP Discount available to Engineers with less than 5 years’ experience Invoice Address 2 Preferred Currency Invoice Town Dietary Requirements Invoice Region/State Other Special Requirements Invoice Zip/Post Code Email Invoice Country Phone (inc. Country Code) Companion’s Full Name Attending Companions Tour? Package Selected (See Conference Details) Two Nights One No Nights Accommodation (night of) 13 Sept inc. 14 Sept inc. 13 Sept 14 Sept Double/Single Additional Accommodation Required These will be requested but are not guaranteed until confirmed by hotel 10 Sept 11 Sept 12 Sept 15 Sept 16 Sept 17 Sept Other Nights Required Please Provide Details Payment Method PayPal Credit Card American Express Bank Transfer To pay by Credit Card or American Express, please send form and call Administration Office with CC details. Payment will be taken in Sterling. Do not send CC detail by email or fax. If you wish to pay by Bank Transfer, please advise GPA Europe who will provide an invoice with full bank details. Please confirm whether you wish to pay in Sterling or Euros. Cheques are no longer accepted for Payment Please note GPA Europe cannot accept any bank charges on money transfers.