SPE MIDDLE EAST ARTIFICIAL LIFT CONFERENCE AND EXHIBITION Titanium Sponsor 30 NOVEMBER—1 DECEMBER 2016 SPE MIDDLE EAST CONFERENCE & EXHIBITION The Diplomat Radisson Blu Hotel MANAMA, KINGDOM OF BAHRAIN 30 NOVEMBER—1 DECEMBER 2016 DELEGATE INFORMATION Please fill in the form in capital letters and fax it to +971.4.457.3164, or email it to [email protected]. Alternatively, you can register online at www.spe.org/events/meal. MANAMA, KINGDOM OF BAHRAIN Call +971.4.457.5800 for more information. Registrant’s Last Name (Family Name) Registrant’s First Name (Forename) Company Name SPE Member Job Title City Yes q No q (Name as you want it to appear on badge) Member Number q Check here if you DO NOT wish to receive updates via mail Street Address or P.O. Box Country State/Province Telephone (include country/area/city code) Zip/Postal Code Email Facsimile (include country/area/city code) How did you first become aware of this event? q Colleague (word of mouth) q Section or Student Chapter q JPT Ad q Industry Publication q Email from SPE q SPE Website q Other Industry Website q Brochure Recieved by Mail q I am a Committee Member/Presenter q Employer q An Exhibitor q Others (please specify) _______________________________________________________________________________________________________________ Full Registration: Two-Day Registration 1 USD=0.377 BHD COST NOT AN SPE MEMBER? Become an SPE member for USD 110 (which includes: one-year membership + one-time entrance fee), or renew your REGISTRATION INFORMATION AND COSTS membership for USD 90. As an SPE member you pay the lower member registration fee. SPE Member BHD 356 q USD 945 q Nonmember BHD 413 q USD 1,095 q Author/Presenter/Committee/Session Chair/Panelist (Please select) BHD 262 q USD 695 q Visitor (Exhibition Only)—2 days Complimentary Complimentary Student (valid ID required) Complimentary Complimentary Full conference registrations include all conference sessions, coffee breaks for two days, daily luncheon tickets, one gala dinner ticket, conference proceedings voucher card and one delegate bag. Student registrations (for students with valid IDs only) include all conference sessions, technical exhibition, and coffee breaks. One-Day Registration (please select) Registration Fee q Wednesday, 30 November q Thursday, 1 December SPE Member BHD 207 q USD 550 q Nonmember BHD 245 q USD 650 q Complimentary Complimentary Visitor (Exhibition Only)—1 day COST One-day conference registrations include all conference sessions, coffee breaks, and luncheon on the specified day. Gala dinner is included for registrations on 30 November. Student registrations (with valid IDs only) include all conference sessions, technical exhibition, and coffee breaks. Additional Tickets COST Luncheon Ticket (please select date) q Wednesday, 30 November q Thursday, 1 December USD 70/BHD 26 × (______tickets) USD 200/BHD 75 (SPE Member) × ( _____ ) Conference Proceeding Voucher Card USD 300/BHD 112 (Nonmember) × ( _____ ) Gala Dinner (Wednesday, 30 November) USD 75/BHD 28 × (______tickets) PAYMENT AND CANCELLATION POLICY All SPE sessions are protected by US copyright laws. Photography and video/audio recording of any kind are strictly prohibited in the sessions and throughout the exhibition area except for authorised personnel. q Payment Guarantee Cancellation Policy My company is paying for my attendance. However, if payment for my attendance to the event is not received within 2 weeks of the event, I understand my credit card will be charged for my attendance. No refund will be made once onsite registration has been processed. Signature:_____________________________________ Date: ____________________________________ q Credit Card q Visa q American Express Name as it Appears on Card q MasterCard Authorised Signature For security reasons, please do not mention you card details on this form. Please present your credit card at the registration desk to process your registration amount. www.spe.org/events/meal IMPORTANT: All fees paid to SPE are net of taxes. The registration fees in this form do not include any local or withholding taxes. All such taxes will be added to the above-mentioned registration fees in the invoice.
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