Conference registration form Company Details You must provide one method of contact.Fields marked (*) are required. Company Name (*): Company Telephone Number (*): Company Fax: Company Email (*): Company Address (*): VAT number: Please tick here if you do not wish your name to appear on the delegate list to be circulated NO Please indicate if you require an official letter to apply for a visa to visit Austria: Yes Delegate and accompanying person details: Please provide us with the details of the persons attending. No.Full nameJob titleAttending:Subtotal 1 Delegate Speaker/Chair Accompanying person Conference (€) Workshop (€) €0 2 Delegate Speaker/Chair Accompanying person Conference (€) Workshop (€) €0 3 Delegate Speaker/Chair Accompanying person Conference (€) Workshop (€) €0 4 Delegate Speaker/Chair Accompanying person Conference (€) Workshop (€) €0 5 Delegate Speaker/Chair Accompanying person Conference (€) Workshop (€) €0 6 Delegate Speaker/Chair Accompanying person Conference (€) Workshop (€) €0 SUB TOTAL:€0 Total Discount: €0 Austrian VAT @ 20%:€0 TOTAL:€0 Payment You must select one method of payment. Credit card: MasterCard, VISA 16ELBC is run by the industry for the industry