Number of Delegates for this Reservation*:
Note: * = Required Field | Note: An additional 10% discount applies for 2 + delegates
Delegate 1 Details
2nd Delegate Details
3rd Delegate Details
4th Delegate Details
Title* Dr. / Mr. / Mrs:
Name*:
Surname*:
Job Title*:
Company*:
Telephone*:
Email*:
Address*:
(For invoicing
purposes)
City/Town*:
Country*:
Package*:
Current Prices:
Gold Package (Full 3-day attendance inclusive of the 2-Day main conference + Licensing, legal and financing forum on the 10th of October (i.e. the
10th -12th October and the International Delegates and Sponsors Welcome Dinner (10th October).
Current price for the early booking registrations is €1,395 Euro and includes attendance to the full 3 day summit Wednesday 10th - Friday 12th October
for one delegate. For 2 - 3 registering delegates the price includes a 10% discount). For 4 or more the price per person features a 20% discount.

The Silver Package (2-day Main Conference (11th &12th October only):
The current price for the silver package (2-day attendance) is €1,295 Euro and includes attendance to the 11th & 12th of October only. For 2-3
registering delegates the price per person is discounted by 10%. For 4 or more delegates the price features a 20% discount).
                                                                  *VAT will be applied as appropriate..
Would you like to secure the summit presentation/audio data with this booking (200 Euro for registering delegates)
Main Registration/Billing Contact Name & email  (If different from above):
Company VAT Number (if within the European Union):
Optional
Comments
Terms & Conditions
Please Note - In Case of a "Server Connection Closed" Error Message.
Due to various browser issues if after pressing the "
Submit Application" button
above you are led to a "Server Connection Closed" error page simply go to the
previous page on your web-browser (i.e. this page) and your details should be
preserved as you entered them. Simply press "Submit Application" again. Repeat
this as required until you land on the "
Successful Registration" page. If the
problem persists then please contact us on +357 99810 833 or submit the details
above by email to
Info@EuroMed-OG.com. Alternatively you may complete the PDF
registration form (by clicking the image to the right)  and email it to
info@EuroMed-OG.com
In case of persistent problems
submitting the electronic form you may
access the PDF version here

www.EuroMed-OG.com     |    For attendance or sponsorship enquiries please email : Info@EuroMed-OG.com  
EuroMed Oil and Gas 2018 Summit | Online Registration Form
To register between one and four delegates to the 2018 EuroMed Oil and Gas Summit please
complete the electronic booking form below. Attendee numbers are limited and are allocated on
a first come-first served basis.