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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.

Click one of the passes below to book your conference pass. For multiple delegate bookings, select the pass and days you wish to attend for each delegate.

Bronze Pass

- Entry to Autonomous Industrial Vehicle Technology Symposium 2017

- Access to conference proceedings from Autonomous Industrial Vehicle Technology Symposium 2017

- Access to attendee and speaker networking information after the event

- Invitation to networking sessions

- Complimentary coffee, refreshments, and delegate dining

Gold Pass

- Gold Pass Gives You Unlimited Access to both Conferences



- Access to conference proceedings from both conferences

- Access to attendee and speaker networking information after the event

- Invitation to networking sessions

- Complimentary coffee, refreshments, and delegate dining

CLICK HERE TO RETURN BACK TO THE AUTONOMOUS INDUSTRIAL VEHICLE TECHNOLOGY SYMPOSIUM WEBSITE

Extra group booking discount

Extra 15% discount for group bookings of 2+ delegates*

*To receive the EXTRA 15% discount, each registration for a group booking must be made on the same date, from the same company.

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Company details
(* Required fields)
  • Company name
  • *
  • Company’s primary business activity
  • *
  • (other Business Activity)
  • *
Contact details for the person in charge of the booking
  • 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
    • Postcode/ZIP
    • *
    • Telephone
    • *
    • -
    • Mobile
    • *
    • -
    • Fax
    • -
    • EmailEmail address must belong to the person in charge of the booking
    • *
    • Confirm email
    • *
    Delegates
    • #
    • Detail
    • Days attending
      14     15
    • 1
    •   Category:
      Telephone:    Mobile:
      Email:    Confirm email:
      • Country
      • House number/Street
      • Address
      • Town/City
      • Postcode/ZIP
    •    


    • 2
    •   Category:
      Telephone:    Mobile:
      Email:    Confirm email:
      • Country
      • House number/Street
      • Address
      • Town/City
      • Postcode/ZIP
    •    



    Add More Delegates Here
    Order details
    • Order total
    • Tax - 19%
    • Grand total - EUR

    Multiple delegate discount applied

    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
    • 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
    • Billing name
    • *
    • Town/City
    • *
    • Billing company
    • *
    • State
    • Country
    • *
    • Postcode/ZIP
    • *
    • House number/Street
    • *
    • Telephone
    • *
    • Address
    • Email
    • *
    • Confirm 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?
    Would you like to opt-in to share your contact details with other delegates?
    Delegate contact details can be shared with other delegates (and only delegates. No information will be shared with other companies for commercial purposes). If you wish to share your contact details for networking opportunities, please tick the box below.
    • Delegate 1 -

    • Delegate 2 -

    Do any of the delegates require a visa invitation?
      • Passport number
      • *
      • Passport start date
      • *
      • (mm/dd/yyyy)
      • Passport end date
      • *
      • (mm/dd/yyyy)
      • Date of birth
      • *
      • (mm/dd/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
      • *
      • (mm/dd/yyyy)
      • Passport end date
      • *
      • (mm/dd/yyyy)
      • Date of birth
      • *
      • (mm/dd/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 inquiries, please email visa@ukimediaevents.com or call +44 1306 743 744.

    Terms and conditions
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    By completing and submitting this form, you understand and agree that the publisher and event organizer UKi Media & Events, a division of UKIP Media & Events Ltd, may use your personal data in accordance with our privacy policy which may be viewed on our website www.ukimediaevents.com.

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

    Please be aware that you have not opted-in in any way for us to contact you.

    Selecting to be contacted by email, telephone and/or post is the only way to GUARANTEE that you will receive important information such as your entry badge, event access code, or travel and event details.

    If you wish to opt-in, click on the `Opt-in` button below to go back to the registration form and select how you wish to be contacted.

    If you do not wish to guarantee that you will receive essential information about the event, you can complete your registration by clicking the `Submit Registration` button below.