If you experience any difficulties using this form then please contact web@ukipme.com

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.

Conference registration form
  • Passes
  • Full rate
  • *3-day pass
  • €1,785 + VAT
  • *2-day pass
  • €1,345 + VAT
  • *1-day pass
  • €855 + VAT

Extra 5% discount for group bookings of 5+ delegates.*

*To receive the EXTRA 5% discount, each registration for a group booking must be made on the same date, from the same company.

You are now on the UKIP Media & Events secure payments server

Company details
(* Required fields)
  • Company name
  • *
  • Company's primary business activity
  • *
  • (other Business Activity)
  • *
Contact details for the person in charge of the booking
(* Required fields)
  • 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
    • Postal code/zip
    • *
    • Telephone
    • *
    • -
    • Fax
    • -
    • EmailEmail address must belong to the person in charge of the booking
    • *
    Delegates
    (Required fields)
    • #
    • Detail
    • Days attending
      14th  15th  16th
    • 1
    •   Category:
      Email:    Telephone:
      Address differs from the person in charge of the booking?
      • Country
      • House Number/Street Address
      • Town/city
      • Postal code/zip
    •        
      Choose 1-3 days
    • 2
    •   Category:
      Email:    Telephone:
      Address differs from the person in charge of the booking?
      • Country
      • House Number/Street Address
      • Town/city
      • Postal code/zip
    •        
      Choose 1-3 days

    Add More Delegates Here
    Order details
    • Order total
    • Tax - 21%
    • Grand total - EUR
    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
    Your payment details
    (* Required fields)
    • 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
    (* Required fields)
    • Billing name
    • *
    • Town/city
    • *
    • Billing company
    • *
    • State
    • Country
    • *
    • Post code/zip
    • *
    • House Number/Street Address
    • *
    • Telephone
    • *
    • 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?
    Do any of the delegates require a visa invitation?
      • Passport number
      • *
      • Passport start date
      • *
      • (dd/mm/yyyy)
      • Passport end date
      • *
      • (dd/mm/yyyy)
      • Date of birth
      • *
      • (dd/mm/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)
      • Passport number
      • *
      • Passport start date
      • *
      • (dd/mm/yyyy)
      • Passport end date
      • *
      • (dd/mm/yyyy)
      • Date of birth
      • *
      • (dd/mm/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 enquiries, please email Tammie Boorman at visa@ukipme.com or call her on +44 (0) 1306 743 744.

    Terms and conditions
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    We accept the following cards:
    We accept Delta, Mastercard, Solo, Switch, Maestro, Visa, Visa Debit