2010 Currency Conference

Delegate Registration Form

DIGITAL PHOTO NOTICE: To prepare your ID badge we require your digital photo. After registering, you will have the option to upload your photo file. If you are unable to upload your photo 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 2008 Conference in Prague, we will use your photo from that Conference if a new file is not submitted. Photo 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

4. Enter Delegate Registration Information

Title:

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:

Dietary Restrictions: (optional)

May we share your photo with other delegates:

Yes

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

Guest 1 Full Name:

Guest 2 Full Name:

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