ACTE Webcast Registration

ACTE Webcast Registration Form

Global Conference Recap, EMEA Events, and ACTE's IATA Initiative
May 19, 2004

All fields are required unless marked with a "*".
First Name
Last Name
Title
Company/Affiliation
Address
Address*
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail
Registration Fee:
	ACTE EMEA Webcast: Global Conference Recap, EMEA Events, and ACTE's IATA Initiative ACTE Member: 0 EURO Non-Member: 50 EURO
Payment:	American Express Diners Club MasterCard Visa
Cardholder Name
Card Number
Expiration Date
(* Note: Webcast registrations are not transferable. Each participant logging in must register. If you require a copy of this registration or plan to pay by check/mail please print using your browser's print feature before submitting this form.) You may submit this form online by Fax: 32.2.743.15.50 or Mail: ACTE EMEA, Avenue des Gaulois, 7 - B-1040 Brussels You may call 1-262-763-1902 or 1-800-375-ACTE for questions or more information