Registration

Components for Military and Space Electronics Conference and Workshop

Registration for CMSE Europe: 10-12 June 2008

Please complete this page. You will have the option to send it via a secure server or to print it to mail or fax.

Last Name
First Name
Title / Position
Organisation
Address
Tel:
Fax:
Email
VAT Reg Number

Please register me for the following:
Conference & Workshop (10th- 12th June)
	£595 £695 after 14 May
Workshop Only:	Counterfeit Components Avoidance Workshop (10th June)
	£310 £360 after 14 May
Conference Sessions Only: 11th & 12th June
	£495 £590 after 14 May
Conference Speakers, Chairmen and Exhibitors * (11th - 12th June)
	£375 £425 after 14 May
* Workshop	£100 £120 after 14 May
Sub-total
VAT (17.5%)
Total
Purchase Order No.

Please charge the following credit card
Card Type	Visa MasterCard Amex
Credit Card Number
Security Number	Last three digits
Expiry Date	Month Year
Cardholders Name
Billing Address if different to above
Signature	__________________________________

OR:
Cheque Enclosed for: £
If you print the form or submit via the secure server you will be able to enter credit card details

Please Note:
Cheques must be drawn on a UK clearing bank and made payable to TMT Associates Ltd. For bank transfers (£’s only) contact TMT Associates Ltd Office There is a £25 handling fee for purchase orders not accompanied by payment. TMT Associates Ltd VAT Reg. No. GB 697 2519 87 Mail to: TMT Associates Ltd., Clare Lodge, 41 Holly Bush Lane, Harpenden, Herts, AL5 4AY, UK Or Fax to: +44 (0)1582 461928