Name *

Please confirm your name as you would like it to read on printed materials.

First Name

Last Name

Phone *

Please provide your best contact number prior to and during the conference.

Country

(###)

###

####

Do you have food allergies or dietary restrictions? *

Yes

No

Are you strictly either of the following? *

Thank you for helping us to curate a menu that will suit your dietary needs. Please check all that apply.

Vegetarian

Vegan

Gluten Free

None of the above

Will you be attending the Day 1 Luncheon at the Naval & Military Club on Thursday, January 18? *

Yes

No

Will you be attending the Day 2 Luncheon at the Reform Club on Friday, January 18? *

Yes

No

Will you be attending the reception at the Palace of Westminster on Thursday, January 17? *

Yes

No

Will you be attending the reception and seated black tie dinner at the Reform Club on Friday, January 18? *

Yes

No

Have you registered for Arctic Encounter London? *

We must ensure that all guests are accounted for and on the master list.

Yes

No

Unsure - Please contact me.

If you are a confirmed speaker, will you be using a power point presentation as part of your speaking role? *

Yes

No

Maybe

If you are using a power point presentation, will you be submitting it in advance via e-mail to the Arctic Encounter London team or will you be bringing it with you on a USB?

Please note: If sending in advance, please send power point presentation to Jackson Blackwell at jackson@kallanderassociates.com. If you intend to bring the presentation in advance in person via USB, please find Jackson Blackwell at the venue at least one hour in advance to upload your presentation. Thank you.

E-mail in advance

Bring on USB to venue