Global Footwear Executive Summit, 30 March 2020 (Monday, 09:00 – 17:00) Regular Price: FDRA members / APLF Exhibitors: US$350 US$250

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COMPANY CONTACT DETAILS

My organisation: * Number of Delegate: * 1 2 3 4 5 Global Footwear Executive Summit, 30 March 2020 Contact Person: *   First Name Last Name Job Title: * Address: * City: State: Postal/Zip Code: Country/Region: * Contact Number: Tel: Fax: Dir: *   Country/Region City Local Country/Region City Local Country/Region City Local Email: * Web Site:

DELEGATE DETAILS

Business Sector (Please check where appropriate) * Delegate Profile (Please check where appropriate) * Manufacturer Manufacturer Exporter Exporter Importer/Buying Office Importer/Buying Office Independent Wholesaler/Distributor Independent Wholesaler/Distributor Agent Agent Department Store/Chain Store Department Store/Chain Store Retailer Retailer Mail Order/e-tailer Mail Order/e-tailer Others Others

Agreement of Terms and Conditions

Registration for the Conference is on a first-come-first-served basis. Official registration confirmation will be sent to the delegate's company by email or fax. Registration will only be confirmed upon receipt of full payment. The booking is non-cancellable and the fee paid is non-refundable. The organisers reserve the right to approve all registration. All online transactions are subject to a 4.2% processing fee.

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PROMOTION DISCOUNT

Please check the box to enjoy the member rate or special discount offer.

<input type="hidden" name="_-txtUnderstandingLeather{index}" /> <input type="hidden" name="_-txtMouldInLeather{index}" /> <input type="hidden" name="_-txtProductSafety{index}" /> <table class="detailTable" delegate="{index}"> <tr> <td style="padding-top:10px; width:140px;">Delegate {index}</td> <td style="padding-top:10px;"> </td> </tr> <tr> <td>First Name, Last name: <span class="red">*</span></td> <td> <span><select style="width:75px;" name="_-selTitle{index}" require="true" message="Please select the title!">{titleList}</select></span> <span style="padding-left:10px;"><input type="text" maxlength="15" style="width:125px;" name="_-txtFirstName{index}" require="true" message="Please enter the first name!" /></span> <span><input type="text" style="width:125px;" maxlength="15" name="_-txtLastName{index}" require="true" message="Please enter the last name!" /></span> </td> </tr> <tr> <td>Job Title: <span class="red">*</span></td> <td><input type="text" style="width:348px;" maxlength="40" name="_-txtJobTitle{index}" require="true" message="Please enter the job title!" /></td> </tr> <tr> <td>Email: <span class="red">*</span></td> <td><input type="text" style="width:348px;" maxlength="50" name="_-txtEmail{index}" regex="/^([0-9a-zA-Z]+[-._+&])*[0-9a-zA-Z]+@([-0-9a-zA-Z]+[.])+[a-zA-Z]{2,6}$/" require="true" message="Please enter the email address!|Please enter the email address!|Email address format errors, please re-enter!" /></td> </tr> <tr> <td>Tel: <span class="red">*</span></td> <td> <span><input type="text" style="width:80px;" maxlength="10" require="true" name="_-txtTelCountry{index}" regex="/^[0-9]*$/" message="Please enter the Telephone country code!|Telephone country code format can only be a number, please re-enter!" /></span> <span><input type="text" style="width:123px;" maxlength="10" require="true" name="_-txtTelCity{index}" regex="/^[0-9]*$/" message="Please enter the Telephone city code!Telephone city code format can only be a number, please re-enter!" /></span> <span><input type="text" style="width:124px;" maxlength="15" name="_-txtTelLocal{index}" require="true" regex="/^[0-9]*$/" message="Please enter the Telephone number!|Telephone number format can only be a number, please re-enter!" /></span> </td> </tr> <tr> <td> </td> <td> <span>Country/Region</span> <span style="padding-left:46px;">City</span> <span style="padding-left:110px;">Local</span> </td> </tr> <tr> <td>Company/Organisation: <span class="red">*</span></td> <td> <span><input type="checkbox" id="chkSameSaAbove{index}" name="_-chkSameSaAbove{index}" item="SAME_AS_ABOVE" value="Same as above" /> <label for="chkSameSaAbove{index}">Same as above</label></span> <span style="padding-left:10px;"><input type="text" maxlength="50" name="_-txtOrganisation{index}" require="true" style="width:231px;" message="Please enter the company/organisation name!" /></span> </td> </tr> <tr> <td>Address: <span class="red">*</span></td> <td><input type="text" style="width:348px;" name="_-txtAddress{index}" maxlength="340" require="true" message="Please enter the address!" /></td> </tr> <tr> <td>City: </td> <td> <span style="padding-right:20px;"><input type="text" maxlength="40" style="width:100px;" name="_-txtCity{index}" /></span> State:<span style="padding-left:10px; padding-right:20px;"><input maxlength="40" type="text" style="width:100px;" name="_-txtState{index}" /></span> Postal/Zip Code:<span style="padding-left:10px;"><input type="text" maxlength="10" style="width:80px;" name="_-txtPostalCode{index}" /></span> </td> </tr> <tr> <td style="padding-bottom:10px;">Country/Region: <span class="red">*</span></td> <td style="padding-bottom:10px;"> <select style="width:250px;" name="_-selCountry{index}" require="true" onchange="changeCountry({index});" message="Please select the country!">{countryList}</select> <input type="hidden" name="_-txtCountryName{index}" /> </td> </tr> </table> Organisers: