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DELEGATE REGISTRATION FORM

NOTICE:  In order to prepare your security name badge we require your digital photograph. After registering, you will have the option to upload your photograph file. If you are unable to upload your photograph at this time, a link to the upload page will also be provided in your confirmation email from the Conference office. Please note that if you attended the 2007 Currency Conference in Bangkok, we will re-use your delegate photograph from that Conference if a new file is not received. Photograph files should meet the following specifications before being uploaded:

• Passport style photograph
• Dimensions: width=350 pixels; height=480 pixels
• Color: RGB
• Format: JPeg (.jpg) image

3. Select Registration Category  

select a category… Central Bank or Other Financial Institution (no limitations) €1,450.00 Bank Note Printer (fewer than 3 delegates from my company have registered before me.) €1,450.00 Non-competitive Industry Supplier (fewer than 2 delegates from my company have registered before me.) €3,150.00 Non-competitive Industry Supplier (I am the 3rd delegate to register from my company.) €7,350.00 Competitive Industry Supplier (I am the 1st delegate to register from my company.) €12,350.00 Competitive Industry Supplier (I am the 2nd delegate to register from my company.) €15,300.00  

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4. Enter Delegate Registration Information

Title:	select an option... Dr. Mr. Ms. Mrs. Miss
First Name:
Last Name:
Your name as it should appear on your badge:
Position:
Company Name:
Address Line 1:
Address Line 2: (optional)
Town/City:
State/Province:
Zip/Postal Code:
Country:
Telephone Number:
Fax Number: (optional)
Email Address: (will be used to send your confirmation)
Dietary Restrictions: (optional)

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5. Will you participate in The CNB Money Exposition Tour on Thursday, October 16?  (more information)

select an option… Yes No  

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6. Enter Spouse/Guest Registration Information (optional):

Guest 1 Full Name:		select a participation option… Spouse/Guest will participate in the Monday Tour only. (€225.00) Spouse/Guest will participate in the Evening Events only. (€200.00) Spouse/Guest will participate in both the Monday Tour and the Evening Events. (€425.00) Spouse/Guest will not participate in the Monday Tour or the Evening Events (€0.00)
Guest 2 Full Name:		select a participation option… Spouse/Guest will participate in the Monday Tour only. (€225.00) Spouse/Guest will participate in the Evening Events only. (€200.00) Spouse/Guest will participate in both the Monday Tour and the Evening Events. (€425.00) Spouse/Guest will not participate in the Monday Tour or the Evening Events (€0.00)

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