THE 41ST IASP WORLD CONFERENCE ON SCIENCE PARKS AND AREAS OF INNOVATION

41st IASP World Conference on Science Parks and Areas of Innovation

SERVICE PROVIDER REGISTRATION FORM

First Name *

Last Name *

ID / Passport Number *

Telephone Number *

Email Address *

Organization *

Team *

Setup Team

Event Day Team

This field is required You can select both of you are playing both roles

Location of Work *

The Edge Convention Centre

The National Museum

Carnivore Grounds

Emara Ole Sereni

This field is required This is the location you have been contracted to perform your duties. Multiple locations possible

Number of Car Passes required for service vehicles

(To be requested by one person per organization)

Make and Registration plates of the service vehicles counted above

Separate each vehicle with a comma (for example Toyota Hiace -KXX239R, Mitsubishi Canter KYU245R,...)