Book Online – Technology & Operational Strategy North America 2012

To book delegate places on this conference, please fill the details below, as they will be used for your conference name badge. Please ensure your email address is correct as all correspondence will be by email. Any relevant discount will be applied later in the booking form. We will send a confirmation of your booking within 2 working days. If you have not heard from us, please call us on +1 877 661 1090 (North America only) or +44 (0)20 7336 4600 (out of North America).
[*] Mandatory Fields

* Where did you hear about this event?

— E-mail Web Search Brochure Mailing Insert Event website Magazine Word of Mouth Call from OsneyMedia

Delegate 1

* Title
— Mr Mrs Miss Ms Dr Professor

* First Name

* Last Name

* Job Title

* E-mail

* Telephone

 Select CD-ROM: $849 USD

* Select ticket
— Conference Only: $999 USD Conference + half day Workshop: $1,599 USD Conference + Workshop: $1,799 USD Half day Workshop: $699 Full day Workshop:: $899

Delegate 2

Title
— Mr Mrs Miss Ms Dr Professor

First Name

Last Name

Job Title

E-mail

Telephone

Select ticket
— Conference Only: $999 USD Conference + half day Workshop: $1,599 USD Conference + Workshop: $1,799 USD Half day Workshop: $699 Full day Workshop:: $899

Delegate 3

Title
— Mr Mrs Miss Ms Dr Professor

First Name

Last Name

Job Title

E-mail

Telephone

Select ticket
— Conference Only: $999 USD Conference + half day Workshop: $1,599 USD Conference + Workshop: $1,799 USD Half day Workshop: $699 Full day Workshop:: $899

Delegate 4

Title
— Mr Mrs Miss Ms Dr Professor

First Name

Last Name

Job Title

E-mail

Telephone

Select ticket
— Conference Only: $999 USD Conference + half day Workshop: $1,599 USD Conference + Workshop: $1,799 USD Half day Workshop: $699 Full day Workshop:: $899

Delegate 5

Title
— Mr Mrs Miss Ms Dr Professor

First Name

Last Name

Job Title

E-mail

Telephone

Select ticket
— Conference Only: $999 USD Conference + half day Workshop: $1,599 USD Conference + Workshop: $1,799 USD Half day Workshop: $699 Full day Workshop:: $899

Booking details

PDF/brochure received from (Contact)

Comment:

Company Details

* Company name

* Address Line 1

Address Line 2

* Town/City

* County/State

* Country

* Postcode

* Telephone

Fax

PAYMENT IS DUE IN FULL AT THE TIME OF REGISTRATION. YOUR REGISTRATION WILL ONLY BE CONFIRMED UPON RECEIPT OF YOUR PAYMENT.

* How do you wish to pay?

 Credit Card Payment
 Payment is being made and will be received by Osney Media within 3 working days (no administration charge)

Credit Card Payment (if applicable)

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 Please charge my credit card (tick as applicable):

 Visa
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 Switch
 AmEx
All card payments will be subject to a Handling Fee of 4%. All card transactions are processed in GBP only. Invoice & receipt will follow by email.

Card No

Expiry Date

Security code (AmEx N/A)

Issue Number (Switch only)

Valid from (Switch only)

Cardholder’s Name

* Billing address:

 Same as Company Address
 Same as Invoice Address
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Billing address (if different from company details or invoice address)
Address Line 1

Address Line 2

Town/City

County/State

Country

Postcode

 I enclose a bank transfer confirmation for USD $:


Invoice & receipt will follow by email

Invoice Details (if different from company details)
Name

E-mail

Company

Address Line 1

Address Line 2

Town/City

County/State

Country

Postcode

Booking authorised by:
Name

Job Title

Your PO/Authorisation Number

Accounts payable contact

Accounts payable email

OsneyMedia Bank details:
NatWest Kingston upon Thames, Market Place Branch, 5 Market Place,
Kingston upon Thames, Surrey KT1 1JX, UK

Account Name: OsneyMedia Limited
GBP Account: 71285202 Sort Code: 60-60-02
Euro Account: 550/00/10293337 Sort Code: 60-60-02
US Dollar Account: 140/00/08444129 Sort Code: 60-60-02
Note: Cheques payable to OsneyMedia Limited

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