ITOMS Member Registration

EACH MEMBER COMPANY ATTENDEE SHOULD SUBMIT A CONFERENCE REGISTRATION FORM. “GUEST” FIELDS REFER TO A CONFERENCE ATTENDEE’S GUEST, SUCH AS A SIGNIFICANT OTHER

Name *

First

Last

Email *

Company *

Your Title *

Company Address *

Address Line 1

City

State / Province / Region

Country

Phone *

Arrival Date into Brussels *

Departure Date from Brussels *

Will you have guests accompanying you? *

If bringing guests, how many guests will be joining you? *

Name(s) of Guests: *

Any special dietary needs for any member of your group? *

Will your guest be joining you at the Welcome Reception on Sunday, 23 April 2023? *

Will your guest be joining you at the Awards Reception on Thursday, 27 April 2023? *