USA The IBIA Annual Convention Stamford, Connecticut, USA " EVERYTHING YOU WANTED TO KNOW ABOUT BUNKERS ( but were afraid to ask?)..." 20- 24 September 2010 Platinum Sponsor Also Sponsored by SILVER Sponsor Media Partners BRONZE SponsorS World Bunkering a division of a production of Member Rate: £ 750 ($ 1125) . Non- Member Rate: £ 1000 ($ 1500) REGISTRATION FORM Stamford, Connecticut, USA Fax to: + 44 2380 221 777 or register online at www. ibia. net YOUR DETAILS Name: n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n Position: n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n Company: n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n Type of Business: n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n Address: n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n n Post Code/ ZIP: n n n n n n n n n n n n n Country: n n n n n n n n n n n n n n n n Mobile: n n n n n n n n n n n n n n n n Tel: n n n n n n n n n n n n n n n n n n Email: Website: CHOICE OF ATTENDANCE PAYMENT DETAILS The IBIA Annual Convention 2010 Card Type: Visa, Mastercard, Amex ( please tick) ( please tick) n n n Card Number n n n n n n n n n n n n n n n n Name on Card ?? n n n n n n n n n n n n n n n n n n n CSV: n n n ?? ?? Expiry Date: n n / n n ?? ?? IBIA Membership Number: n n n n Today's Date: n n / n n / n n n n Member Rate: n Non- Member Rate: n The IBIA Annual Convention - USA 20- 24 September 2010 |