Editor & Marketeer Conference & Expo

Registration Form

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If you prefer, you may print this form and send it by fax at +33 1 47 42 49 48.

Please complete the form below.

 

Contact Information

First Name:
Last Name:
Job Title:
Organization:
Address:
City:
Postal Code:
Country:
Fax:
Phone:
E-mail:
My newspaper: General Interest Sport Finance
circulation:

I am registering for The 16th World Advertising Conference & Expo

1450 €*: Standard Price

1050 €*: My newspaper belongs to a WAN member association

980 €*: Company/WAN/WEF/INMA Members
Not yet a company member ? Find out more here

Accompanying person: 175 € *

*Excluding VAT (VAT applies to European Union countries only).

For E.U. Countries, please enter your VAT number here:

(please note that prices are in Euros)

I will send a check to the order of WAN

I will send my payment by bank transfer to

AMJ FORMATION
Banque Nationale de Paris, France
Account n° 000 102 809 42 61
Bank Code 30004
Branch Code 00819

Please charge to my:

Credit Card Number:
Expiry Date:

Name and Address of Cardholder:

 

Please print this form now and keep it as a receipt.

Cancellation of registration: In case of cancellation before 31 December 2005 you will be reimboursed 50% of your registration fee. Beyond that date WAN will not issue a refund.