Summit, Networking & Awards Registration Form

Company:*
Name:*
First Last
Address:*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Job Title:*
Tel Number:*
Mobile Number:*
Email Address:*
Correspondence Address:*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Do you wish to exhibit?
Do you wish to exhibit?*
- Yes
- No
Single Table:*
- PCIAW® Members: £1995.00 (ex-VAT)
- Non-members: £2,995.00 (ex-VAT)
Double Table:*
- PCIAW® Members: £3,980.00 (ex-VAT)
- Non-members: £5,990.00 (ex-VAT)
How many tickets would you like for the Summit?
For PCIAW® Summit: Members: £195.00 (ex-VAT)*
For PCIAW® Summit: Non-members: £295.00 (ex-VAT)*
How many tickets would you like for the Awards?
For PCIAW® Awards 2021: Individual tickets: £299.00 (ex-VAT)*
For PCIAW® Awards 2021: Table of ten: £2,650.00 (ex-VAT)*