Postal Code: Country: E-mail: Phone: Fax: Payment Information. â Mastercard/Visa â Payment via Bank Transfer. All pa
Conference registration form
3 & 4 March 2015, Riocentro Exhibition & Convention Center, Rio de Janeiro, Brazil
2 Day Conference Participation: [ ] FULL PRICE 600.00 USD [ ] End Users special discount 400.00 USD Visitors may register free on line to visit the exhibition only (no access to conference) Courses The Application of Steel in Oil & Gas Pipelines, register at www.abmbrasil.com.br Flow Control Exchange Basic Valve Course, register at www.abimaq.com.br Name:
Position:
Company: Address: City:
Postal Code:
Country: E-mail: Phone:
Fax:
Payment Information ❏ Mastercard/Visa ❏ Payment via Bank Transfer All payments must be remitted in USDs by credit card or for payment via Bank Transfer: details will be provided upon receipt of completed registration form. MasterCard/Visa for
USD
Credit card number
Expiration date:
Card Verification Code (CVC)* Cardholder’s Name:
Cardholder’s Signature:
*In addition to the credit card number, a card verification code (CVC) is required. For Visa and Mastercard/Eurocard you can find your CVC on the reverse side of your credit card, printed into the signature field. It is a three-digit number.
Please fax this form to: +1 416 361 6191 | Attn: Lindsay Jackson
or post to KCI Publishing Corporation: 36 King Street East, Suite 701, Toronto, ON, M5C 1E5, Canada For more information about the conference and expo, please contact Andre Davanzo, Email:
[email protected] or Tel: +1-416-361-7030
KCI Publishing
KCI GmbH
KCI Shanghai
KCI Corporation
Contact: Ladan Pourtork Email:
[email protected] Tel: +31 575585270
Contact: Nicole Nagel Email:
[email protected] Tel: +49 2821711450
Contact: Liu Hui (Rebecca) Email:
[email protected] Tel: +86-21-63519609
Contact : Andre Davanzo Email:
[email protected] Tel: +1 647 5227030
KCI
Messe Dusseldorf North America Contact: Alexandre Guedes Contact: Justin Kesselring Email: Email:
[email protected] [email protected] Tel: +55 11 995038132 Tel: +1 312-621-5806
www.flowcontrolexchange.com
