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Your online registration

Please fill in the registration form to order your free of charge day ticket for PCIM Europe 2010. After you have registered a personal day ticket for one day at PCIM Europe 2010 will be sent to you as pdf file by e-mail.

Please consider that you should register several times if you wish to visit the exhibition on more than one day. Please print your personal pdf day ticket and present it at the visitor registration on site to be allowed to enter PCIM Europe 2010.

Personal data

	Contact*	:		Please select Private person Company
	Mr/Ms*	:		Please select Mr Ms		Title	:		Director Dr.-Eng. Eng. His Excellency MD Prof. Dr.-Eng.
	First name*	:				Last name*	:
	Company	:				Dpt.	:
	Street*	:
	Zipcode*	:		Reset		City*	:
	Country*	:		Please select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros ( Comores ) Congo Congo (Democratic Republic) Cook Islands Costa Rica Cote d´Ivoire Croatia ( Hrvatska ) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakstan Kenya Kiribati Korea, Democratic People´S Republic Of Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxemburg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar ( Burma ) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts And Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia Seychelles Singapore Slovak Republic Slovenia Solomon Islands South Africa South Korea Spain Sri Lanka St. Pierre and Miquelon Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu UAE USA Uganda Ukraine United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Yemen Zambia Zimbabwe
	Phone	:				Fax	:
	E-mail*	:				Mobile phone	:
	Should you not find your country listed above, please contact us by E-mail.

	Further company information
	Industry*			Please select 05 Chemical Industry 17 Computer and Communication 5010 Electrical Skilled Trade 14250 Electromagnetic Compatibility 1412510 Electrical Measurements and Controls 141 Electrical Engineering 4314 Electrical Engineering Trade 02 Energy 13 Automobile Engineering 15 Precision Engineering, Optics 50 Skilled Trade 07 Plastics 1305 Air- and Spacecrafts 12 Machinery, Apparatus, Tools 14210 Micro Electronics 14220 Opto Electronics 1808 Quality Assurance 3507125 Consulting 03 Environment 3507080 Editors, Publishing 3512 Sciences 3507060 Academic Industries
	Job function*			Please select 006 Production Planning 004 Stäbe 010 Data Processing 13 Purchasing 014 Export 003 Executive Management 005 Design & Development 009 Logistics 011 Marketing / Advertising / PR 015 Personnel Management 007 Manufacturing & Production 008 Quality Assurance 012 Sales 088 Pupil 099 Student (College/University)
	Company size*			Please select 1-9 Employees 10-19 Employees 20-49 Employees 50-99 Employees 100-199 Employees 200-499 Employees 500-999 Employees More than 1000 Employees

	How did you get to know PCIM Europe?
	Advertisement in a magazine		Report in a magazine
	Invitation issued by exhibitor		Exhibitor website
	Posters		Invitation/information issued by organizer
	PCIM Europe website		My company exhibits

	Delivery
	You will get your free of charge day ticket by e-mail as pdf-file.

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Note

Your personal data will be encrypted on being forwarded and used for Mesago use only. We do not sell or otherwise market personal data to third parties. If you do not wish to receive further information, please let us know.