Online Registration


Title
Delegate Type *
First name *
Last name *
Company/Organisation *
Business Title/Position *
Business Address *
City *
Postcode *
State / Region *
Country *
Telephone *
Select your password *
Re-enter Password *
Delegate Email *

Person who made this registration (if other than delegate)

Name
Email address

Further correspondence regarding this registration to be sent to

Delegate
Person who made this registration
Both

Dietary requirements

Your Travel Schedule for arrival and departure in/from Antwerp

Arrival date
Arrival time
By
Airport of arrival*
Flight #*

Departure date
Departure time
By
Airport of departure*
Flight #*

* please indicate airline code (ex. LH) and flight number

Are you bringing an Accompanying Person with you *
Yes No

Title
First name
Last name
Dietary requirements

Social Program

All activities are included in the Delegate Registration Fee but we would very much appreciate it if you could carefully complete this section in order to allow our Host and your colleague, to cater for the exact number of delegates.

Please confirm which activities you will be attending :
click yes / no
Accomp. Person

Sunday, June 23

First-time Attendees Reception
14:30-15:45
yes no
yes no
Antwerp Experience, Welcome Reception and Dinner
16:00-22:30
yes no
yes no

Monday, June 24

AIPC Conference
yes no
Reception Hosted by AIPC’s Business Partners
17:00-19:00
yes no
yes no

Tuesday, June 25

AIPC Conference
yes no
AIPC Award Dinner
yes no
yes no

Wednesday, June 26

AIPC Conference
yes no
Conference Closing Lunch
yes no
yes no

All payments are made to AIPC via the online Registration module.
Payments are to be made and received prior to June 3 as there are no payment facilities in Antwerp.