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Delegate registration
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Delegate registration
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SubmissionDate
Will you be attending the forum, or are you completing the form on somebody else's behalf?
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I am attending the forum
I am completing the form on somebody else's behalf
Select rate option
*
Business rate
Academic Rate
Are planning to present?
Yes
No
If you are planning to make a presentation, please fill out the speaker form:
Open speaker form
Person completing the form
Name
First
Last
Company
Job title
Contact Email
*
Contact Phone
*
Billing Address
*
Street Address
City
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
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Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
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Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
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Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
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United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Åland Islands
Country
Delegate details
Number of delegates
*
1 delegate
2 delegates
3 delegates
Delegate 1
Forum Delegate
Price:
Before 25 April 2024
Forum Delegate
Price:
Forum Delegate
Price:
Before 25 April 2024
Forum Delegate
Price:
Before 25 April 2024
1. Gala dinner
Gala - $120 USD
Gala dinner
Price:
Running Total
Delegate 1 Name
*
First
Last
Delegate 1 Job Title
Delegate 1 Company
Delegate 1 Email
*
Delegate 1 Phone
Delegate 2
Forum Delegate
Price:
Before 25 April 2024
Forum Delegate
Price:
Forum Delegate
Price:
Before 25 April 2024
Forum Delegate
Price:
Before 25 April 2024
2. Gala dinner
Gala - $120 USD
Gala dinner
Price:
Running Total
Delegate 2 Name
*
First
Last
Delegate 2 Job Title
Delegate 2 Company
Delegate 2 Email
*
Delegate 2 Phone
Delegate 3
Forum Delegate
Price:
Before 25 April 2024
Forum Delegate
Price:
Forum Delegate
Price:
Before 25 April 2024
Forum Delegate
Price:
Before 25 April 2024
3. Gala dinner
Gala - $120 USD
Gala dinner
Price:
Running Total
Delegate 3 Name
*
First
Last
Delegate 3 Job Title
Delegate 3 Company
Delegate 3 Email
*
Delegate 3 Phone
Additional options
Prices exclude production and shipping costs. Goods can be delivered and stored at the venue no longer than 5 working days prior to the event. All goods which have not been collected at the end of the event will be disposed of.
Options
Placement of promotional inserts in the delegate bags $600 USD
Video advertising during the Forum $600 USD
Mine Visit on 21 June (details to be confirmed) $250 USD
Placement of promotional inserts in the delegate bags $600 USD
Price:
Placement of promotional inserts in the delegate bags $600 USD
Price:
Mine Visit on 21 June (details to be confirmed) $250 USD
Price:
Sub-Total
Running Total
Special Requests
Finish and Pay
The following information is required for use by Advantix Ltd for invoice and in the event of any queries.
Select Payment Method
*
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Terms
*
I have read and agreed to the terms and conditions.
Terms and Conditions
Total
Total
Name
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About MINEX Forum
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Frunze Restaurant
Contact us
Agenda
Wednesday, 19 June
Thursday, 20 April
Visits
Floor Plan
Exhibition
Exhibitor Terms
Register Exhibitor
Floor Plan
Exhibitors
Sponsors
Sponsors
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Participation terms
Register participants
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Register speaker
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Exhibitor terms
Register Exhibitor
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