Delegate Registration Form

 
Delegate Registration Options
 
Day 1
  One-Day Rate
Early Bird Rate (before January, 06, 2017): $400 / person
Regular Rate (after January, 06, 2017): $425 / person
 
  Delegate(s)
 
$0
 
  Association Member One-Day Rate
Association Member (GPMA, IARPMA, IPPTA)
Early Bird Rate (before January, 06, 2017): $350 / person
Regular Rate (after January, 06, 2017): $400 / person
 
  Delegate(s)
 
$0
 
Day 1 & 2
  Full Conference Registration
1st and 2nd delegates from the same company
Early Bird Rate (before January, 06, 2017): $625 / person
Regular Rate (after January, 06, 2017): $725 / person
3+ delegates from same company
Early Bird Rate (before January, 06, 2017): $575 / person
Regular Rate (after January, 06, 2017): $625 / person
 
  Delegate(s)
 
$0
 
 
  Association Member Rate
Association Member (GPMA, IARPMA, IPPTA)
Early Bird Rate (before January, 06, 2017): $400 / person
Regular Rate (after January, 06, 2017): $500 / person
Note: Apply Voucher Code for the association member discount
 
  Delegate(s)
 
$0
 
 
 
Apply Voucher Code
Total
$0
 
Payment Options
 
  Cheque
payable to Media Fusion Fze, PO Box 80260, Dubai, UAE
  Bank transfer
Reference company name and name of the delegate(s) on transfer. All related bank charges are borne by the delegate. All transfers must specify full details of sender and payer. A copy of the proof of transfer but be attached to the registration form in which it covers. No registrations will be processed without proof of transfer.)
BANK NAME: Emirates NBD Bank
ACCOUNT NUMBER : 1014527909601
SWIFT CODE: EBILAEAD
BENEFICIARY: MEDIA FUSION FZE
IBAN NO: AE950260001014527909601
  Credit Card