INFRATECTS 10th Anniversary Registration Form

Please register here below for our 10th Anniversary event on 10 September 2010

INFRATECTS 10TH ANNIVERSARY EVENT REGISTRATION FORM


First Name	:
Surname	:
Company	:
Position	:
Postal Address	:
Postal Code	:
City	:
Country	:
Phone Number	:
Cell Number	:
Email	:
Should you have any specific dietary requirements, please let us know	:
Subscribe to Infratects News Letter	:	Yes No

Upon registration, you will receive an email stating that a reservation has been made for you. Registration must be made before 23 August 2010.