Registration Form

Registration Form

Registration Form

To register, return this form via fax to +32 2 743 1584 or mail this form with payment to: International DB2 Users Group, Avenue de Tervueren, 300, B-1150 Brussels, Belgium

Delegate Information (please type or print clearly)

Title: (Mr./Mrs./Ms.) ___________________ First/Given Name: _______________________ Last/Surname: _____________________________ Job Title: _____________________________________________________ Company/Organisation: ___________________________________ Company VAT Number (mandatory)_______________________________________________________________________________________ Company/Organisation Address:__________________________________________________________________________________________ State/Providence (if applicable): ________________________________ Postcode/Zip: ________________ Country: _____________________ Telephone (Business): __________________________Telephone (Mobile): ____________________________ Fax: _______________________ Registrants E-mail* _____________________________________________________________________________________________________

(Required for IDUG to notify you of event-related updates and reminders)

IDUG Membership Number __________________________________________________________________________________

(Your IDUG Membership Number can be found on your Premier Member card and in your user profile on doc.xuehai.net)

It is important to us that you enjoy this forum. If you have any special needs/accommodations/requirements please let us know and we will do our best to accommodate you. Special Needs _______________________________________________________________________

Registration Options

The registration fee includes admittance to all IDUG 2008 – Europe Management Forum activities. All fees shown are in EUR and must be paid in EUR. Payment by credit card will result in faster processing and confirmation of your registration. Full payment must accompany this form or your registration cannot be processed. (All credit card transactions will be payable to: International DB2 Users Group).

Quantity

_______ IDUG 2008 – Europe Management Forum Registration(s) @ € 600* Subtotal = EUR ________

_______ Full-Conference Early Registration Fee* @ € 1610* Subtotal = EUR _________

(must be postmarked or faxed on or before 29 August 2008)

_______ Onsite Full-Conference Registration Fee* @ € 1885* Subtotal = EUR _________

(when postmarked or faxed after 29 August 2008)

Plus VAT (22% of Subtotal) = EUR ________

Total Fee = EUR ________

*Please note that all registration fees are subject to Polish VAT at 22%.

Payment Information

Payment by Credit Card Circle: Visa MasterCard American Express Diners Club

Check/Credit Card # __________________________________________ Name (as it appears on card) ___________________________

Signature ___________________________________________________ Card Expiration Date (Month/Year) ______________________

Payment by wire transfer: Wire Transfers must be issued in EUR to the MCI Benelux SA account: 310-1976139-44 at ING Chien Vert, Avenue Charles Thielemans 44B,-1150 Brussels, Belgium, Swift code: B BRUBEBB, IBAN: BE55310197613944. Be sure to reference IDUG 2008–Europe: ID Number; name and company.

Payment by cheque: Cheque #_____________________ Make cheques payable to: MCI Benelux SA account: 310-1976139-44 at ING Chien Vert, Avenue Charles Thielemans 44B,-1150 Brussels, Belgium. Note: Please reference the conference delegates name and IDUG 2008 – Europe Management Forum on the back of the cheque. All cheques must be made in EUR.

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