FAX No. - +44 (0)20 7504 3730
Energy Risk USA 2010
24-27 May 2010
Book... before
12 March 10		 before
16 April 10		 Full price

Subscriber
20%**
         
Two-day conference + pre-summit + post summit $4099
Save: $550		 $4399
Save: $250		 $4649 $3719
         
Two-day conference + pre-summit only $3299
Save: $350		 $3499
Save: $150		 $3649 $2919
         
Two-day conference + post-summit only $3299
Save: $350		 $3499
Save: $150		 $3649 $2919
         
Two-day conference only $2449
Save: $200		 $2549
Save: $100		 $2649
 $2119
         
Pre-summit only $1199
Save: $100		 $1249
Save: $50		 $1299 $1039
         
Post-summit only $1199
Save: $100		 $1249
Save: $50		 $1299 $1039
Please select which pre and/or post summit seminar you with to attend: Pre-summit 1
Pre-summit 2 		Post-summit 1
Post-summit 2
Please note: Your payment must be received prior to attendance.
For more than 3 delegates bookings, please contact Customer Services to discuss a group discount on +44 (0) 870 240 8859/+1 (212) 457 9400.
Your registration fee includes breakfast, lunch and refreshments, pre course reading and your documentation pack. Book online or fax the completed form with your credit card details, or follow up the provisional reservation with a cheque made payable to Incisive Financial Publishing Ltd.. In order that we process your registration with maximum efficiency, we request that a copy of this booking form accompanies your payment. Please complete the form in BLOCK CAPITALS.

SECTION 1 - PERSONAL DETAILS
 
Please note: ALL the fields marked with * must be completed. Regrettably, we are unable to process your booking if we do not have this information.
 
My VIP/priority booking code (if known):_______________________
 
Where did you hear about this conference?
Energy Risk publication   Telesales call
Risk publication   Remind me facility
Conferences program by mail   Tell a colleague facility
Internet search engine   Word of mouth
Another Incisive Media website   Other : __________________________  
 
First name: _______________________
Family name:* _______________________
Job title _______________________
Department* _______________________
Company Name:* _______________________
Please indicate the description which best fits your company type:
Commercial/Investment bank   Accountancy / Audit
Brokerage   Consultancy / Boutique
Building society / thrift   Government / Public Body
Insurance company   Software / Technology
Exchange   Energy/Utility
Asset / Investment / Fund MGT   Non-financial corporation
Legal   Other (please specify)
Regulator   ________________________________________
Street:* _______________________
City:* _______________________
Post / zip code:* _______________________
Country:* _______________________
Telephone:* _______________________
Fax:* _______________________
Your e-mail: _______________________
 

SECTION 2 - PAYMENT DETAILS
Please tick ONE of these options:  
Option 1 - I will give my credit card details and intend to pay NOW for my booking. I am aware that I will receive booking confirmation and a PAID invoice will be forwarded by mail to the address I have supplied above.
Option 2 - I will book now but pay later. I recognize payment must be received before this event starts. I am aware that I will receive confirmation and will have a proforma invoice forwarded by mail to the address I have supplied above.
If you select payment option 2; please note: We accept company cheques, credit cards and bank transfers. Please make cheques payable to Incisive Financial Publishing Ltd., all other details will be on your pro forma invoice. Please allow a minimum of seven working days for a bank transfer to reach us and phone or fax us when it has been sent. Please state the event name and delegate name to which it relates.
 
For credit card payment ONLY...  
Please debit my:* _______________________
Valid from:* _______________________
Card No:* _______________________
Expiry date:* _______________________
Account address if different from above: _______________________
_______________________
_______________________
_______________________
_______________________
 
Incisive Media VAT No: GB 681 3190 38 For companies in EU member states only: Please write your VAT/TVA/ BTW/IVA/ MCMS/MWST/FPA number here:_______________________

SECTION 3 - FINALLY... Terms and Conditions
Cancellation
A refund (less 10% administration fee) will be made if notice of cancellation is received in writing three weeks before the event. We regret that no refunds can be given after this period. A substitute delegate is always welcome at no extra charge.

Disclaimer
The programme may change due to unforeseen circumstances, and Incisive Media reserves the right to alter the venue and/or speakers. Incisive Media accepts no responsibility for any loss or damage to property belonging to, nor for any personal injury incurred by, attendees at our conferences, whether within the conference venue or otherwise.

*All discounts must be redeemed when booking, discounts will not be valid or applied after this time. Incisive Media reserve the right to decline any discount offers and this offer cannot be used in conjunction with any other offer.
YES, I understand the terms and conditions of this booking*
YES, I would like to be notified with relevant information like this event in the future

Any additional comments?

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WARNING: Risk is a registered trademark, and the title, contents and style of this brochure are the copyright of Incisive Media. We will act on any infringement of our rights anywhere in the world. © Incisive Media Investments Ltd. 2010

By registering for Energy Risk USA Incisive Media* will send you further information relating to this event. In addition we will send you information about our other relevant products and services which we believe will be of interest to you. If you do not wish to receive other relevant information from Incisive Media via a particular medium please tick the following relevant boxes:
mail: telephone: fax: or email:

Incisive Media will also allow carefully selected third parties to contact you about their products and services. If you do not wish to receive information from third parties via any of the following media please tick the relevant boxes:
mail: telephone: fax: or email:

Please remember that if you choose not to receive other literature you may miss out on some exclusive offers.

*For a list of companies included in Incisive Media please see our website - www.incisivemedia.com/dataprotection
 
© Incisive Media Investments Limited 2010 , Published by Incisive Financial Publishing Limited, Haymarket House, 28-29 Haymarket, London SW1Y 4RX, are companies registered in England and Wales with company registration numbers 04252091 & 04252093