Mobile Pricing - Press Accredition Form

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Contact Us

Speaking: caroline.broderick@informa.com
+44 (0) 207 017 5439 or +44 1737 249314

Sponsorship: carine.vandevelde@informa.com
+44 (0) 207 017 4833

Marketing or Press enquiries: Mubenah.khan@informa.com
+44 (0) 207 017 5827

Press Accredition Form

Please complete the form below. The following details will appear on your conference badge.
NB: Please also fax or email to mubenah.khan@informa.com �

Letter of assignment on official letterhead of a media organization signed by the Publisher/Assignment Editor, Editor-in-chief or Bureau Chief, specifying the name and functional title of the journalist. Unsigned letters or e-mails will not be accepted.
Photocopy of a valid press card/work pass
Photocopy of passport/national ID card

* Required Information

Personal Information

First Name *
Surname *
Publication
Job Title *
Press Card Number
Contact Me	Yes
Contact My PA	Yes

Contact Details

Address Line 1 *
Address Line 2
Address Line 3
Town/City *
State/County *
Postal or Zip Code *
Country *
Tel
Mobile (PLEASE ENSURE THAT YOU PROVIDE A MOBILE NUMBER SO THAT WE CAN CONTACT YOU DURING THE EVENT)
Fax

PA Contact Details

Address Line 1 *
Address Line 2
Address Line 3
Town/City *
State/County *
Postal or Zip Code *
Country *
Tel
Mobile (PLEASE ENSURE THAT YOU PROVIDE A MOBILE NUMBER SO THAT WE CAN CONTACT YOU DURING THE EVENT)
Fax

Event

I will attend the full conference	Yes No
Day & Time Of Arrival At the Event

The personal information that you provide will be held on a database and may be shared with companies in the Informa Group in the UK. Sometimes your details may be made available to external companies for marketing purposes.

If you do not wish your details to be used for this purpose, or wish to amend your mailing details, please contact:

The Database Manager,
Informa UK Ltd,
29 Bressenden Place,
London,
SW1E 5DR

Tel. 0207 017 4555
Fax. 0207 017 7824
Email: database@informa.com