Distributor Days registration form 2019

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Thank you for registering for the VPInstruments Distributors Days. This 3 days event will be held on September 25-27, 2019. This year it will be a very special edition because we are also celebrating our 20th anniversary!

After registration, we will confirm by personal email and share the details for the hotel reservation.

PLEASE USE 1 FORM PER ATTENDEE!

Email *

1. Your full name (one name per registration form): *

2. Company: *

3. Cell phone number: *

4. Will you attend alone or bring a colleague or other company? *

*) please ask your colleague(s) and end customer to fill out a registration form as well. Tick the answers that apply

1. Alone

2. I will bring a colleague(s) *

3. I will come with another company *

Required

4b. When you come with another company, who will you bring?

What is the name of the Company and the Full name of the person you will bring?

5. Will you attend the full 3 day program? *

Mark one option below:

Yes, I will attend the full program (from 25 to 27th of September)

No, I will be attending for just a part of the program.

6. If your answer was "no" please indicate which days you will attend?

Please also let us know if you will be leaving early.

7. What are your expectations and learning goals? *

8. Special dietary requirements and other important things you want to share with us:

Please let us know if you have any special diets or food allergies we need to know about. Or certain food that you would rather not eat. For example no fish, no dairy products, no chicken, no pork, no beef, allergic to nuts, etc.

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