EXHIBITION & CONFERENCE REGISTRATION FORM

Save Time! Save Queuing! Save Money!

Pre Register and save $50.00 per day.

  • Complete the following form and press the SUBMIT button.

  • Your FREE exhibition badge  will appear on the next screen.

  • Print this page and bring it to the exhibition.

  • Collect a badge holder, a catalogue and enter the exhibition.

STEP 1
  IMPORTANT
Complete a separate form for each Registrant.
Each registrant must use a unique e-mail address (No duplications please)
Conference
Please go to http://www.coilwindingexpo.com/chicago_conference_program.htm for complete details
Magazine
Yes, Send me a FREE subscription to Coil Winding International & Electrical Insulation Magazine.

STEP 2
   GENERAL INFORMATION
First Name*
Last Name*
Job Title*
Company Name*
Street / PO Box*
City*
State*
Postal / Zip Code*
Country*
Telephone*
Fax*
Email*
Products Manufactured*
Main Interest*
Your Activity*
Company Size*

STEP 3
  REGISTRATION by FAX or MAIL
If you are not able to submit this form online, please print it, fill it out and fax or mail it.
Fax
 +44 (0) 1202-736018
Mail
 CWIEME
East by North,
Tudor Road, Newtown, Alderney,
Channel Islands GY9 3XP
UK
 
 

         Fields marked with an * must be completed.