Participant Registration Form
  1. FORM A                                                                         DCATF PARTICIPANTS

    PARTICIPANTS FORM

    This form is only for the DCATF PARTICIPANTS.

    The registration fee for International participants on DCATF costs 500 £.

    The registration fee for Regional/Local Participants on DCATF costs 50£.

    Please note that the participation on DCATF 2012 for the Silk Road Media’s Partners, Advertisers and companies from host country is complimentary.

    Please try to type in block capital letters and readable. Organizer will not be responsible for the mistakes that have been brought with missing, wrong or unreadable information.

  2. COMPANY DETAILS

  3. Company Name(*)
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  4. Contact Name(*)
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  5. Title(*)
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  6. Address(*)
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  7. Postcode Zip code
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  8. Сountry(*)
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  9. City:(*)
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  10. Tel: (*)
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  11. Email(*)
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  12. WEB site:
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  13. PARTICIPANTS PROFILE

  14. Name Surname:(*)
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  15. Company Name:(*)
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  16. Job Title:(*)
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  17. City/Country:(*)
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  18. Do you need a KG visa?(*)
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  19. In case of your organization is interested in registering additional participant, the registration fee for extra person costs 50£

  20. ADDITIONAL PARTICIPANTS PROFILE

  21. Name Surname:
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  22. Company Name:
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  23. Job Title:
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  24. City/Country:
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  25. Do you need a KG visa?
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  26. SERVICE CATEGORY

  27. Your company can be registered in maximum in three categories mentioned below. Choose respective categories and mark the needed.(*)
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  28. special requirements - please state
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  29. date
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  30. (*)
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  31. Deadline for submit: March 31, 2012

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