Conference registration form Company Details You must provide one method of contact.Fields marked (*) are required. Company Name: (*) Company Telephone Number: (*) Company Fax: Company Email: (*) Company Address: (*) VAT number: Is your company a registered ILA member?: Yes Please indicate if you require an official letter to apply for a visa to visit Madrid: Yes To comply with the new data legislation we would be grateful if you would tick the boxes below: I hereby consent that my name, surname, title and e-mail address are shared with ILA to organise this meeting. I hereby consent that my pictures are used by ILA for communication. I understand that these images may appear publicly as part of ILA’s website and/or other communication materials. I hereby consent that my name, surname and title are published by ILA for communication purposes. I understand that this information may be printed at the event. Delegate and accompanying person details: Please provide us with the details of the persons attending. No.Full nameJob titleAttending:Subtotal 1 Delegate Accompanying person Conference (€) Workshop (€) €0 2 Delegate Accompanying person Conference (€) Workshop (€) €0 3 Delegate Accompanying person Conference (€) Workshop (€) €0 4 Delegate Accompanying person Conference (€) Workshop (€) €0 5 Delegate Accompanying person Conference (€) Workshop (€) €0 6 Delegate Accompanying person Conference (€) Workshop (€) €0 SUB TOTAL:€0 Spanish VAT @ 21%:€0 TOTAL:€0 Payment You must select one method of payment. Credit card: MasterCard, VISA