APICS2023

Delegate Info

Category*

Salutation*

First Name*

Last Name*

Name to be printed on badge*

Department/Speciality*

Organisation*

Job Title*

Country*

Mobile Number*

MCR/CPE No.

Email Address*

Alternate Email
(Recommended to have Non-Organisation email)*

If you require vegetarian meal, please select.

Please send invitation letter for visa application.

Personal Data Protection Declaration

I agree that Kenes and/or the organisers may collect and use my personal data which I have provided in this form to provide marketing information relevant to the APICS 2023 symposium and any other information that I have agreed to receive.*
I agree to receive information sent by Kenes and/or the organisers about related products and services including but not limited to offers, information and new goods and services via the given email