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ContactCenterWorld.com (North America) Inc
1020 Dawson Road, Suite 305 • Thunder Bay • Ontario Canada • P7B 1K6
Tel: +1-807-624-2080 • Fax: +1-888-624-9178 / +44 (0)208 588 5440 • e-mail: info@ContactCenterWorld.com

Top Performers in the World Conference Registration Form
Malaysia: July 10 - 14 2017


$=USDBasic# of TicketsTotal
 
Conference Tickets
 
All Items displayed here are charged in Canadian Dollars (CAD). Prices may vary daily based on exchange rates.Price
2017 APAC Premium Conference Pass Only
This is the Premium 4 1/2 day pass with industry gala dinner ticket. Includes all conference materials, full access to all sessions, hot/cold buffet lunch, morning and afternoon tea/coffee (morning tea/coffee only on half day). You will also have access to all conference notes from the days you attend as well as the networking tools to help post conference networking. Gala ticket includes food, drinks and entertainment.
$2,098 USD

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2017 APAC Full Conference Pass Only
4 1/2 days (consecutive) access. Includes all conference materials, full access to all sessions, hot/cold buffet lunch, morning and afternoon tea/coffee. You will also have access to all conference notes from the days you attend as well as the networking tools to help post conference networking.
$1,911 USD

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2017 APAC Gala Dinner Ticket
Includes great food, entertainment and drinks. This is the event where the best in the industry meet and have fun. It's also the event where we present awards to the best in the region!
$238 USD

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   Subtotal

 = $ ________

AMEX Surcharge
4% surcharge to cover increased processing fees charged by AMEX.

 
 = $ ________
 Total = $ ________


NOTE - By filling out and submitting this form, you are agreeing to the Conference Booking Terms and Conditions outlined https://www.contactcenterworld.com/conferences/terms-conditions2.aspx. All credit cards will be billed in Canadian Dollars at the prevailing rate at time of booking quoted on oanda.com


PLEASE FAX TO: +1-888-624-9178 / +44 (0)208 588 5440


Please complete all relevant fields. For Canadian orders please ensure you add the appropriate tax where indicated
Name _______________________________  
Company _______________________________Cardholder Address (if different)
Street Address  _______________________________ Street Address  _______________________________
  Suite #  _______________________________
City   _______________________________City _______________________________
State/Prov. _______________________________State/Prov. _______________________________
Country _______________________________Country  _______________________________
Postal / Zip  _______________________________ Postal / ZipPostal / Zip  _______________________________
Phone  _______________________________ Phone  _______________________________
E-mail   _______________________________E-mail _______________________________
Fax _______________________________

Payment methods
Invoice:Please note that payment must be received before the promotional pricing expires or else the current market prices will be charged at the time payment is received.
All payments are due 14 days from date of invoice, all tickets are not guaranteed until payment is received.
Invoice me in:
CADEUROGBPUSD
Account Contact 
Name_____________________________________________________________
Email_____________________________________________________________
Phone_____________________________________________________________

I authorise ContactCenterWorld.com to charge my: Personal Credit Card    Company Credit Card
This form serves as a formal written authorization and approval for ContactCenterWorld.com to charge the credit card described below.
card USD $ ________
AMEX NOTE - All orders paid for by AMEX will incur a 4% surcharge to cover increased processing fees charged by AMEX. These will be added to your total when your card is processed.
All credit cards will be billed in Canadian Dollars at the prevailing rate at time of booking quoted on oanda.com
Card #
                
Expiry
                       
     m       m       y        y  

Security Code:
(Show Me)

       
       
       
       
Last 3 digits (4 on AMEX) on reverse of card
Name on card:____________________________   
Cardholder Signature:____________________________Date___________________________

I would like my receipt by (select one or both): FAX EMAIL


Please confirm the following information for each delegate, please use CAPITAL LETTERS:-

If you are purchasing more than 1 ticket and/or you are purchasing 2, 3 or 4 day tickets, please complete the ticket details area. Please use a separate sheets, if necessary to list all attendees.

Name_______________________________________________________________
Company Name
(if different from yours)
_______________________________________________________________
Email Address_______________________________________________________________
Tel #_______________________________________________________________
Job Title_______________________________________________________________
Ticket DetailsPlease list which type of ticket + days attending.
_______________________________________________________________
_______________________________________________________________


Name_______________________________________________________________
Company Name
(if different from yours)
_______________________________________________________________
Email Address_______________________________________________________________
Tel #_______________________________________________________________
Job Title_______________________________________________________________
Ticket DetailsPlease list which type of ticket + days attending.
_______________________________________________________________
_______________________________________________________________


Name_______________________________________________________________
Company Name
(if different from yours)
_______________________________________________________________
Email Address_______________________________________________________________
Tel #_______________________________________________________________
Job Title_______________________________________________________________
Ticket DetailsPlease list which type of ticket + days attending.
_______________________________________________________________
_______________________________________________________________