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Additional Badge Request Form
In addition to your complimentary delegate badges, an unlimited number of conference passes will be made available at a 30% discount, to your guests. To register for further delegate badges, please complete the following form.

Please register me for the Mission Critical Computing conference in
Wiesbaden ___
Paris ___
London ___

Cost per additional delegate = £880 + VAT

Name: Mr/Mrs/Miss/Ms: ______________________________
Job Title: ______________________________
Company name: ______________________________
Address: ______________________________
  ______________________________
E-mail: ______________________________
Direct phone: ______________________________
Fax: ______________________________


Payment may be made in currencies other than the stated Pound Sterling (in Deutschmark or French Franc), at the prevailing rate of exchange at time of payment.

Please check the relevant box to indicate your method of payment:
1) Cheque
Cheques should be made payable to:
"Hemisphere Information Services (UK) Ltd."

2) Credit Card
Please complete the form below:
Credit card type: _ Visa _ Mastercard _ American Express

Card No:

Exp. date:

Name on card:

Signature: ____________________________________

Click here to download this form as a PDF file for printing purposes.


For MCC Wiesbaden:
Please fax the forms by 8th January 1999 to:

Att: Debi Hawkins
+44 (0) 181 817 1226

E-mail: dhawkins@eventmgrs.co.uk

For MCC London:
Please fax the forms by 15th January 1999 to:

Att: Alison Cherrett
+44 (0) 181 817 1226

E-mail: acherrett@eventmgrs.co.uk
Wiesbaden / London
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