Coil Winding, Insulation & Electrical Manufacturing 
International Conference and Exhibition
CWIEME 2004
 June 15 - 16 - 17, 2004  -  Berlin, Germany

Exhibition & Conference Registration Form

Save Time! Save Queuing! Save Money!
Register by May 17th, 2004 and your "Exhibits Only" Badge
will be mailed to you in advance plus you save €30.00 EURO per day.

Please fill out the following information and press the SUBMIT button

STEP 1
  IMPORTANT
Please complete all sections of this form. Complete a separate form for each Registrant.
Use this form to make as many copies as you need. All registration forms must be received by May 17, 2004.
After May 17th, bring this form with you.
Exhibition Pass Yes, Send me a FREE Exhibition Pass good for all 3 days of the Exhibition.
Conference
Yes, Send me a a complete conference information package.
Magazine
Yes, Send me a FREE subscription to Coil Winding International & Electrical Insulation Magazine.

STEP 2
   GENERAL INFORMATION
Last Name* Company Name*
First Name* Street / PO Box*
Job Title* City*
Telephone* State
Fax* Postal / Zip Code*
Email* Country*
Products Manufactured*
Main Interest*
Your Activity*
Company Size*

STEP 3
  REGISTRATION by FAX or MAIL
If you are not able to submit this form online, please print it, fill it out and fax or mail it.
Fax
 +44 (0) 1202-736018
Mail
 CWIEME
PO Box 936
Alder Hills, Poole, Dorset
BH12 4YA, England
Additional Comments

         Fields marked with an * must be completed.
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