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Members' Register

 

The "Members register" is for ICMA members or subscribers only. If you do not have a user login, Please click here

 


Non-members - Registration of delegates and accompanying persons

   
 

Register on-line

 

To register for your attendance at the ICMA AGM and Annual Conference, to be held in Brussels on May 26-28, 2010, please enter the details requested below.  Registration will be confirmed upon receipt of payment.  If you have any queries about the registration process, please contact the Membership department on +41 44 363 4222 or at membership@icmagroup.org.
  
                                                                                                                                                                                                  
  Company details
 
 
Full name of firm*

 
                                                                       
 
Address 
Street address 1*
Street address 2
Postal/Zip code*
 City*
Country*
Company tel. number including country code e.g. +41 44 363 4222*
+  
Company fax number including country code e.g. +41 44 363 4222
+  
                                      
 
Contact details for this registration
 Title*               First name*                                     Surname*
      

 Job title*                                         E-mail*
   

 Telephone number including country code e.g. +41 44 363 4222*
+  

Tick here if you do not wish to be contacted by third parties
 
                                                                             
 

We wish to register the following delegates and accompanying persons:
 

You are welcome to register more participants than this form provides for, please submit this form as many times as you like. 
 
Prices
  • Non-member delegates charged at EUR 1,500 (excl. VAT*).
  • All non-member spouses/partners are charged at EUR 500 (excl. VAT*). 

*Belgian VAT at 21% is applicable for all registrations.
 
   
  Delegate 
 Title*               First name*                                     Surname* 
       

 Job title*                                         E-mail*
    

Tick here if you do not wish to be contacted by third parties 

Spouse/Partner 
 Title*               First name*                                     Surname* 
       

 E-mail
 


Delegate 
 Title*               First name*                                     Surname* 
       

 Job title*                                         E-mail*
    

Tick here if you do not wish to be contacted by third parties 

Spouse/Partner 
 Title*               First name*                                     Surname* 
       

 E-mail
 


Delegate 
 Title*               First name*                                     Surname* 
       

 Job title*                                         E-mail*
    

Tick here if you do not wish to be contacted by third parties 

Spouse/Partner 
 Title*               First name*                                     Surname* 
       

 E-mail
 


Delegate 
 Title*               First name*                                     Surname* 
       

 Job title*                                         E-mail*
    

Tick here if you do not wish to be contacted by third parties 

Spouse/Partner 
 Title*               First name*                                     Surname* 
       

 E-mail
  
                                      
   
 

Payment 

 

I hereby authorise registration and payment of the appropriate fees.
                                
 
Payment method*



If you are paying by credit card please complete the following section, if you are paying by cheque or invoice please use the appropriate details below to make your payment.

Credit Card Payment

Cardholder name*

Credit/debit card type*

Credit/debit card number*

Security number*
The security number refers to the last 3 digits, usually found on the back of your card in the signature strip. For AMEX, use the 4 digit code above your account number on the front of your card
 

Expiry date*
    
Month Year

Issue number (if applicable)
For Maestro/Switch cards fill in the single digit issue number found on the front of your card. If none exists then fill in the issue date below

 
Issue date (if applicable)
Month Year
 

Bank Transfer		  
Bank name and address: Credit Suisse, Paradeplatz 8, CH-8070 Zurich, Switzerland
Account number: 640089-92-3
IBAN CH75 0483 5064 0089 9200 3
Swift code CRESCHZZ80G

Cheque Payment
  
Payable to : International Capital Market Association
Address : International Capital Market Association
  Talacker 29
  PO Box
  8022
  Zurich
 
   
 

Other comments
                                      
 
If there is anything else you would like us to know, please use the text box below.
N.B. The invoice will be issued to the registered named person. If an additional invoice copy is required, please specify to which name/dept.
 
                                      
   
 

Submit form


By clicking the 'SUBMIT' button you agree to our payment and cancellation conditions below
                                                                      
 
       
 
 

Booking policies

Payment and cancellation conditions
Written cancellation may entitle delegates and accompanying persons to a full or partial refund in accordance with the deadlines shown below:
 

Deadline for receipt of written cancellation by ICMA’s secretariat Refund
April 27, 2010 100%
May 4, 2010 50%
May 10, 2010 20%
May 18, 2010 No refund











Disclaimer
ICMA reserves the right to change or cancel any part of its published programme due to unforeseen circumstances.


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