Conference registration form

Company Details
You must provide one method of contact.
Fields marked (*) are required.
Yes
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.