You are here : Home > 2019 ICPC Plenary Meeting > Registrations > Member Delegate Registration

Member Delegate Registration

The Member Delegate Registration Form is for completion by delegates directly employed by a Member company. ICPC Membership provides for two delegates to attend per Member company. If more than two delegates wish to attend, the ICPC applies a charge for each additional delegate.

Please Note: This registration form is for the ICPC's conference administration purposes only. All hotel room reservations should be made by the delegate directly with the hotel by following this link.
Name

Title

First (given) Name

Surname (family name)

Delegate Badge Name (as you want it to appear on your delegate badge)

Member Company Name Job Title

Country Email Address

Guestroom Booked
Hotel Name: Venue Hotel?

Vegetarian Meals Required
Other Special Dietary Requirements