EMEC 2016 REGISTRATION FORM
Prefix:
First Name:
Last Name:
BADGE Name/Nickname:
Professional Designation(s):
Company/Organization:
Job Title:
Address:
Country:
Postal code/Zip:
City/State/Province:
Mobile Phone (Country Code/Area Code/Number):
Email address:
*Your email address and phone number will be kept private, unless specific approval is granted. Your email address will be used for MPI correspondence regarding your registration.
MPI Member Number (if applicable):
Chapter Name (if applicable):
Twitter ID:
Do you authorize MPI to publish your contact information (name,
title, company, city, country) on the Look Who’s Coming list
published on the EMEC website?
Yes
No
IN CASE OF AN EMERGENCY DURING THE CONFERENCE:
Name (Please print clearly):
PLEASE INDICATE ANY SPECIAL NEEDS:
Physical Needs:
Dietary:
Diabetic
Gluten-Free
Vegetarian
Vegan
Food Allergies:
Daytime Phone:
Evening Phone:
Are you a:
Planner
Supplier
Student
Faculty
What most influenced you to register?
(Check all that apply)
The Meeting Professional magazine ad/article
MPI in Europe e-newsletter
Email from MPI
Phone call from MPI
Message from my chapter
Word-of-mouth
Social Networking (Facebook, LinkedIn, Twitter, other)
Event website
Host City Promotions
Liability Waiver and Release
Consent to the Use of Photographic Images: Registrations and
attendance at or participation in EMEC 2016 constitutes an
agreement by the registrant to MPI’s use and distribution (both now
and in the future) of the registrant or attendee’s image or voice in
photographs, videotapes, electronic reproductions and audiotapes.
In consideration of being allowed to register for, and participate in,
the EMEC, I hereby warrant and represent that I am age 18 or above
and freely waive, release from liability, assume all risks, and
covenant not to sue Meeting Professionals International (MPI) or its
members, employees, board members, agents, or volunteers for
any expense, loss, damage, personal injury, including loss of life,
disability, property damage, or property theft or actions of any kind
that I may hereafter suffer or sustain before, during or after the
Event unless said expense, loss, damage, personal injury, including
loss of life, disability, property damage, or property theft or actions
of any kind is caused by the sole, gross negligence of MPI. This
Waiver and Release is specifically binding upon my heirs and assigns
and is knowingly given.
I accept this waiver:
Have you attended EMEC before?
No, this is my first time
Yes # of conferences attended:
Page 2:
First Name
Last Name:
REGISTER FOR EMEC 2016
EARLY RATE
Open Until 18 Dec 15
STANDARD RATE
19 Dec 15 – 15 Jan 16
LATE RATE
16 Jan 16 – 9 Feb 16
Full Conference - Planner Member
€499
€599
€699
Full Conference - Supplier Member
€549
€649
€749
Full Conference - Faculty Member
€249
€299
€349
Full Conference - Student Member
€99
€129
€159
Full Conference - Planner Non Member
€599
€699
€799
Full Conference - Supplier Non Member
€749
€849
€949
Full Conference - Faculty Non Member
€349
€399
€449
Full Conference - Student Non Member
€139
€169
€199
Conference & MPI Membership Package Planner*
€729 + €113.50 VAT
€829 + €138.50 VAT
€929 + €163.50 VAT
Conference & MPI Membership Package Supplier*
€899 + €124.75 VAT
€999 + €149.75 VAT
€1099 + €174.75 VAT
Conference & MPI Membership Package Faculty*
€544 + €87.50 VAT
€594€594 + €99.75 VAT
€644 + €112.25 VAT
Conference & MPI Membership Package Student*
€179 + €34.75 VAT
€209 + €42.25 VAT
€239 + €49.75 VAT
MPI Foundation Rendezvous
€50
€50
€50
MPI Foundation Rendezvous (Student)
€25
€25
€25
Going Local: A Roadmap for Inspiring Sense of Place
€90
€90
€90
Sustainable Meeting Professional Certificate
€350
€350
€350
Healthcare Meeting Compliance Certificate (HMCC)
€440
€440
€440
Sustainable Practitioner Certificate (SPC)
€260
€260
€260
EMEC REGISTRATION
Member Rates
Non Member Rates
Package Rates
MPI Foundation
Certificate Programs
Conference registration fees, MPI Foundation Rendezvous tickets and Certificate Programs are subject to VAT of 25% as indicated above. The membership portion
of the Package Rates is VAT exempt, please add indicated amount.
*Includes 12 months of membership and is available for new MPI memberships only. Not valid for renewals.
Questions? feedback@mpiweb.org
Promotional Code (if applicable):
PAYMENT
*Payment must accompany your registration form
Registration Fee
€
Rendezvous ticket(s)
€
Certificate Program(s)
€
VAT (25%)
€
TOTAL Remitted
€
Page 3:
First Name
Last Name:
Payment by credit card
Charge €
to the following credit card:
Credit Card Number:
Exp. Date:
Security Code (CVV):
Cardholder’s Name:
Wire Transfer
Bank: ING
Address: Cours St Michael 40 – B 1040 Brussels, Belgium
Swift address: BBRUBEBB100
Account: 310-1088187-30 (MPI)
IBAN: BE 15 31 01 0881 8730
Please include in your wire transfer message:
EMEC First Name_Last Name
Cardholder’s Signature:
Important Information
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Mailed Registrations Deadline: Please do not mail registrations in after Friday, 22 January, 2016 as we cannot guarantee receipt in a
timely manner for processing. Payment may be required onsite for registration fees not received.
Registration Changes/Additions/Receipts: Once you have completed your registration, you will be sent a confirmation email. In that
email is a link to the online registration portal where you can update information, get a copy of your receipt/invoice or make a payment.
If you would like us to resend your confirmation, please email MPI@eventPower.com.
Questions Regarding Registration: Please email MPI@eventPower.com.
Registrations received without payment will not be processed.
Questions Regarding MPI Membership: Please contact Antti Lumiainen at +358 45 1425 974.
Guest Registration: All guests must register onsite at €125 and must not be in an industry-related position. Co-workers or associates in
the industry do not qualify. Guests must be at least 18 years of age. Guest registration includes admission to the Welcome Reception on
Sunday evening. Tickets for Rendezvous may be purchased at the time of guest registration.
Cancellations: Cancellations must be received in writing no later than Monday, 11 January, 2016 and are subject to a €75 processing fee.
Refunds will be processed within 30 days after the conference. Refunds will not be granted after Tuesday, 12 January, 2016 nor will they
be given for no-shows. Please email cancellations to MPI@eventPower.com.
Substitution Policy: Substitution of registration (same type: member/non-member) is permitted prior to Friday, 22 January, 2016. Only
one substitution is permitted per original registrant with written consent. The individual submitting the substitution request is
responsible for all financial obligations associated with that substitution as well as updating any contact/demographic information. Please
email substitution requests to MPI@eventPower.com.
Consent to Use of Photographic Images: Registration and attendance at, or participation in, EMEC 2016 constitutes an agreement by the
registrant to MPI's use and distribution (both now and in the future) of the registrant or attendee's image or voice in photographs,
videotapes, electronic reproductions and audiotapes.
For complete details regarding MPI events, please visit MPI events.
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