Checkout

Thank you for your order. We hope it will be meaningful for you.
You can pay via credit or debit card (see below) or Paypal (click button on the right).

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Account Information

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[MM_Form_Field type=’input’ name=’lastName’ customAttributes=’placeholder=”Last Name”‘]

[MM_Form_Field type=’input’ name=’email’ customAttributes=’placeholder=”Email Address”‘]

[MM_Form_Field type=’input’ name=’password’ customAttributes=’placeholder=”Password”‘]

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Details for the IMEC International Meaning Conference

Name to be printed on conference badge including titles (Mr, Mrs, Dr, etc):

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Affiliation to be printed on conference badge (e.g. work, association or leave empty)

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Type of price reduction (proof required within 7 days at imec2019@yahoo.com)

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Comments to IMEC International Meaning Conference

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Billing Details

Visa, Master Card, American Express, Discover

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[MM_Form_Field name=’billingCity’ customAttributes=’placeholder=”Billing City”‘]

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Product Price: [MM_Form_Data name=’productPriceDescription’]

Total Price: [MM_Form_Data name=’totalPrice’]

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