Delegate Registration SUPRA 2018 To book delegate places, 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 and invoice you at the invoice address you specify at the end of the form. If you have not heard from us, please call us on +44 (0)20 7336 4600. 1 Delegate Details2 Payment Details Delegate BookingNB: Please note that delegate places are open to practitioners only. If you are a consultant or solution provider, please contact us to find out how you can get involved.Where did you hear about the event?*Yuliya LapkovichNatasha StoevaKarolis PetrauskasAlex WassallNaomi Wood / MarketingOtherPlease give us some more detailsHow many Delegates would you like to register*1234Delegate 1TitleMr.Mrs.Miss.Dr.Prof.First Name*Last Name*Organisation Name*Email* Job Title*Phone*Mobile Phone*(To be used for the online delegate meeting system ONLY)Select your package*SUPRA 2-day Conference Pass £1499 +VATDelegate 2TitleMr.Mrs.Miss.Dr.Prof.Name* First Last Organisation Name*Email* Job Title*Phone*Select your package*SUPRA 2-day Conference Pass £1499 +VATDelegate 3TitleMr.Mrs.Miss.Dr.Prof.Name* First Last Organisation Name*Email* Phone*Select your package*SUPRA 2-day Conference Pass £1499 +VATDelegate 4TitleMr.Mrs.Miss.Dr.Prof.Name* First Last Organisation Name*Phone*Email* Select your package*SUPRA 2-day Conference Pass £1499 +VATPrices subject to 20% UK VATAttendance costEnter Promotion Code20% speaker discount Price: -£ 299.80 20% COGENDI20 Price: -£ 299.80 20% EAGLE20 Price: -£ 299.80 20% AXIOMA20 Price: -£ 299.80 20% CONFLUENCE20 Price: -£ 299.80 20% FACTSET20 Price: -£ 299.80 20% MSCI20 Price: -£ 299.80 20% SEISMIC20 Price: -£ 299.80 20% SSC20 Price: -£ 299.80 20% STATPRO20 Price: -£ 299.80 20% UBSDELTA20 Price: -£ 299.80 20% VPD20 Price: -£ 299.80 Attendance Cost £ 0.00 Payment DetailsHow do you wish to pay?*Credit CardInvoiceThis page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card* American ExpressMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Coden/a Amex Cardholder Name Invoice DetailsContact for Payment* First Last Accounts Payable Email* Accounts Payable Phone*Organisation Name*Organisation Address* Street Address Address Line 2 City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PO/Authorisation refTerms & ConditionsFor any questions related to your booking, call our Customer Service Department on: +44 (0)20 7336 4600. Cancellation Policy Bookings may only be cancelled by notifying OsneyMedia via firstname.lastname@example.org or calling +44 (0)20 7336 4600, all cancellations MUST be confirmed in writing no later than three weeks before the event. A cancellation fee of 50% (plus VAT) will apply. No refunds will be made for cancellations in the three weeks prior to the event. A substitute delegate may be sent, in which case no cancellation charges will apply. It may be necessary for reasons beyond the control of OsneyMedia to alter the content and timing of the programme or the location of the event. Payment Policy Payment must be received on or prior to the first day of the event or 15 days from the invoice date whichever is the earlier. Registrations with no immediate payments will attract an Administration Fee of £45.00 + VAT (or equivalent if billed in another currency). Unpaid invoices will accrue interest at the daily rate equivalent to 2% above the prevailing National Westminster Bank Lending Rate. Any new bookings made within 14 days prior to the event must be paid by credit card on application. Non-payment will be taken as a cancellation therefore you may be refused entry at the event. Booking Terms and Conditions If for any reason OsneyMedia decide to make material changes to this conference, we are not responsible for covering airfare, hotel or other costs incurred by registrants. In the event that OsneyMedia cancel the event, OsneyMedia reserve the right to transfer this booking to another conference to be held in the following twelve months, or to provide a credit of an equivalent amount to another conference within the same sector within the following twelve months. Should OsneyMedia fail for any reason to organise or identify an alternative event in these circumstances your fee will be refunded in full. Indemnity: Should for any reason outside the control of OsneyMedia, the venue or speakers change, or the event be cancelled due to an act of terrorism, extreme weather conditions or industrial action, OsneyMedia shall endeavour to re-schedule but the client hereby indemnifies and holds OsneyMedia harmless from and against any and all costs, damages and expenses, including legal fees, which are incurred by the client. The construction, validity and performance of this agreement shall be governed in all respects by the laws of England to the exclusive jurisdiction of whose Courts the Parties hereby agree to submit. Attendance fees for delegates from outside EU are payable with the booking. All new registrations received within 14 days before the event are payable with the booking. Visa letters will be issued only upon the receipt of payment. It is attendees responsibility to ensure that relevant travel documents are obtained prior to event.Booking Terms and Conditions* I have read and agree with the terms and conditions set out above Personal data is gathered in accordance with the Data Protection Act 1998. Your details may be passed on to other carefully selected companies. Please tick this box if you do not wish to have your details passed on.