To register to the 2012 DIGIMAT Users' Meeting, please fill in the registration form below.
You will then receive a confirmation email with the payment and practical information.

If you select payment by credit card, please download and return the credit card form.
If you select payment by back transfer, you will soon receive the corresponding invoice.

How did you hear about this conference? * :
Title :	PhDDrIngMrMrsMs
First name * :
Last Name * :
Company Name * :
Position * :
Address * :
Email * :
Phone Number * :
Please select a category of participation * :	Full Pass: 700€Conference Pass: 500€Training Pass: 400€Speaker - Conference Pass: FREESpeaker - Training Pass: 300€Academic - Full Pass: 500€Academic - Conference Pass: 350€Academic Training Pass: 250€Sponsor / Channel Partner 1 Delegate Pass - FREESponsor / Channel Partner Additional Delegate Pass: 550€
Payment Method :	Wire TransferCredit Card
Company VAT Number :
I will attend the Welcoming Cocktail on October 1 starting 6:00 pm * :	YesNo
I will participate to the Gala Dinner on October 2 evening * :	YesNo
Food restriction (if any) :
I will participate to the DIGIMAT Training Course on October 4 * :	YesNo
If yes, please select training course :	Introductory trainingAdvanced training
I will join the sales meeting on October 4 :	YesNo
I will join the channel partner dinner on October 3 evening :	YesNo

* : Required Field