"*" indicates required fields This field is hidden when viewing the formCurrencyThis field is hidden when viewing the formSubmissionDateSelect the number of visitors you register12345Visitor 1 detailsName* First Last Visitor 1 Company*Visitor 1 Job Title*Visitor 1 Email* Visitor 1 Phone*Visitor Fee Price: Additional Options Gala Dinner Site visits Gala Dinner Price: Site Visits Price: Total Visitor 2 detailsName* First Last Visitor 2 Company*Visitor 2 Job Title*Visitor 2 Email* Visitor 2 Phone*Visitor Fee Price: Additional Options Gala Dinner Site visits Gala Dinner Price: Site Visits Price: Total Visitor 3 detailsName* First Last Visitor 3 Company*Visitor 3 Job Title*Visitor 3 Email* Visitor 3 Phone*Academic rate Price: Additional Options Gala Dinner Site visits Gala Dinner Price: Site Visits Price: Total Visitor 4 detailsName* First Last Visitor 4 Company*Visitor 4 Job Title*Visitor 4 Email* Visitor 4 Phone*Academic rate Price: Additional Options Gala Dinner Site visits Gala Dinner Price: Site Visits Price: Total Visitor 5 detailsName* First Last Visitor 5 Company*Visitor 5 Job Title*Visitor 5 Email* Visitor 5 Phone*Academic rate Price: Additional Options Gala Dinner Site visits Gala Dinner Price: Gala DinnerSite Visits Price: Total Additional optionsAdvertising options Video advertising during the Forum Cost: 600 Euro Promotional inserts in the delegate bags Cost: 600 Euro Video advertising during the Forum Price: On-screen demonstration of a video clip in the conference halls between the sessions of the MINEX forum. 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