Gas Processors Association s1

Gas Processors Association - Europe Registration form for Annual Conference Istanbul 21 – 23 September 2016 Please complete by either selecting from drop-down boxes or completing text entry, save as pdf and send by fax or email to Sandy Dunlop at GPA Administration Office.

Title First Name Family/Surname

Choose an item. Click here to enter text. Click here to enter text.

Employee of GPA E or GCC Member Invoice Company Click here to enter text. ☐ Company or Individual Member?

Job Title Click here to enter text. YP Discount Applicable? ☐

Preferred Name on Preferred Company Name Click here to enter Click here to enter text. Badge text. on Badge YP Discount available to Engineers with less than 5 years’ Invoice Address 1 Click here to enter text. experience

Invoice Address 2 Click here to enter text. Preferred Currency Choose an item.

Invoice Town Click here to enter text. Dietary Requirements Choose an item.

Invoice Click here to enter text. Other Special Requirements Region/State Click here to enter text. Invoice Zip/Post Click here to enter text. Email Click here to enter text. Code

Invoice Country Click here to enter text. Phone (inc. Country Code) Click here to enter text.

Companion’s Full Name Click here to enter text. Will attend Companions Tour ☐

Conference Packages

Package Requested: Please refer to Conference Details Choose an item.

I would like to have sete invoices for Conference Only and Other ☐ Elements of requested Package

Additional 20 21 20 23 24 25 Accommodation Required September September September September September September This will be requested but is not guaranteed until ☐ ☐ ☐ ☐ ☐ ☐ confirmed

Other Nights Required Please Provide Details Click here to enter text.

Payment Method PayPal ☐ Credit Card ☐ American Express ☐ Bank Transfer ☐ Sterling or Euro Sterling Only Sterling Only Sterling or Euro

To pay by Credit Card or American Express, please send form and call Administration Office with CC details. Payment will be taken in Sterling. Do not send CC detail by email or fax. If you wish to pay by Bank Transfer, please advise GPA Europe who will provide an invoice with full bank details. Please confirm whether you wish to pay in Sterling or Euros. Cheques are no longer accepted for Payment Please note GPA Europe cannot accept any bank charges on money transfers.

Gas Processors Association, 132 Chantry Road, Disley, Stockport, Cheshire SK12 2DN, UK tel: +44 (0) 1252 625542 - fax: +44 (0) 1252 786260 - e-mail: [email protected] - www.gpaeurope.com Page 1 of 1