REGISTRATION

Plastic Pipelines International Spring Seminar 2012
April 24-25, 2011 Al Jubail, Saudi Arabia

  Company Name :
  Membership
:
  Address 1 :
  Address 2 :
  Post Code :
  City :
  Country :
  Phone :
  Fax :
  Email :
  Nature of Business: :
 

 
1st Delegate:
 
Choose Days
:
 
First Name
:
 
Last Name
:
 
Job Title
:
 
Contact Phone
:
 
Email
:
       
       
 
2nd Delegate:
 
Choose Days
:
 
First Name
:
 
Last Name
:
 
Job Title
:
 
Contact Phone
:
 
Email
:
       
 
3rd Delegate:
 
Choose Days
:
 
First Name
:
 
Last Name
:
 
Job Title
:
 
Contact Phone
:
 

Email

:

       
 
4th Delegate:
 
Choose Days
:
 
First Name
:
 
Last Name
:
 
Job Title
:
 
Contact Phone
:
 

Email

:


*I would like to make payment via:

Bank Transfer (Details will be provided on invoice)

Cheque / Bank Draft (Details will be provided on invoice)

Please ensure payment is received by GPPA before the event.

Please enter Security Code shows below.

 

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Register Today!
Full Conference Registration Fee
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1- Day Semiar Fee
Members: US $200.00
Non-Members: US $250.00
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2 - Day Seminar Fee
Members: US $300.00
Non-Members: US $375.00

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