Example Delegate Registration Form

"*" indicates required fields

Invoice Number

Attendee Details

Please provide details for the primary registrant. All fields are required.

Name*

First Last

Job Title*

Company*

Location

Street Address City Country

VAT identification number

Email*

Phone*

Mobile Phone*

Please provide your direct contact number (including extension). This allows our success coordinators to reach you in regards to any deliverables required for your participation prior summit!

Additional Passes

Add more passes for any additional attendees.

Second Attendee

Details for additional attendees, if available.

Name

First Last

Job Title

Phone

Mobile Phone

Third Attendee

Details for additional attendees, if available.

Name

First Last

Job Title

Phone

Mobile Phone

Fourth Attendee

Details for additional attendees, if available.

Name

First Last

Job Title

Phone

Mobile Phone

Fifth Attendee

Details for additional attendees, if available.

Name

First Last

Job Title

Phone

Mobile Phone

Sixth Attendee

Details for additional attendees, if available.

Name

First Last

Job Title

Phone

Mobile Phone

Additional Details

Please provide further details about your organization or interest in further participation.

Q1. How many people are employed by your organization as a whole?

Q2. Approximately what is the annual revenue generated by your organization as a whole?

Q3. Are you interested in future opportunities to present on the agenda?

Yes

Q4. Are you interested in contributing to the Generis Blog?

Yes

Q5. Permission to acquire your bio from LinkedIn?

Yes

Q6. What are your top three business challenges?

Q7. What are the top three solution providers you would like to see at future meetings?*

Q8. Which industry do you represent?

Areas of Specialization

For pre-scheduled one-to-one business meetings, which of the following areas are you interested in?

Approximately how much is your company planning to invest in the above areas?

Terms & Conditions

Please review the Terms & Conditions and Privacy Policy. Your Date of Birth will act as your digital signature.

Terms & Conditions

Booking Code

Please confirm your Date of Birth:*

Package Option

VIP Delegate Package — European Supply Chain Summit

Price:

On-Demand Content

Price:

Discount Code

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Discount

Price:

Subtotal

0.00 €

Service Fee (18%)

0.00 €

VAT (19%)

0.00 €

Total

Including 18% service fee.

Payment

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Payment Method*

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Credit Card

Card Details

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Example Delegate Registration Form

Attendee Details

Additional Passes

Second Attendee

Third Attendee

Fourth Attendee

Fifth Attendee

Sixth Attendee

Additional Details

Areas of Specialization

Terms & Conditions

Payment

Contact

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