Form Instructions

Completion of this form will provide you with a printable registration.

1. Please provide personal and payment details in the form below.
2. Verify the information is correct, then click "Print Registration" to create a PDF printable form.
3. Please print, sign, and fax the PDF form.
   (This is not an online payment until the form is faxed to + 33 (0)3 44 06 25 26)
4. Registration fee is €200 (until 12th September 2008). Late registration fee after this date is €300.

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Name
Job Title
Company Name
Email Address
Address
Euro Bank Draft Credit Card Payment Cheque
Credit Card	Visa MasterCard Other (If other, please provide details):
Name On Card
Credit Card Number
Expiry Date	(mm/yyyy)
Card ID/Security Code	(3-digit on back of card. If American Express, 4-digit on front of card.)

* Note - Personal and payment details provided are not used or stored in any other way other than to provide you with a printable registration appropriate for facsimile transmission.