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Registration Form (Pay with Card)
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Please Select Your Required Registration Category
Select Registration Category
(Required)
Premium Space Exhibitor:
Premium Space package includes 4m x 2m space for you to build your own stand and two people for the Tuesday conference and exhibition. Any additional colleagues will need to register via the delegate ticket option.
Exhibitor:
Includes one exhibition space 2m x 1m with trestle table and two people for the Tuesday conference and exhibition. Any additional colleagues will need to register via the delegate ticket option.
Delegate:
Includes one person for the Tuesday conference and exhibition. Up to 3 delegate tickets can be purchased in any one transaction.
Speaker:
Please select if you have been confirmed as a speaker on the conference programme.
Premium Space Exhibitor
Standard Exhibitor
Delegate
Speaker
Personal Details
First Name
(Required)
Surname
(Required)
Job Title
(Required)
Company Name
(Required)
Company Address
Company Address (Line 1)
Company Address (Line 2)
City
Post Code
Mobile Contact Number
(Required)
Email
(Required)
Enter Email
Confirm Email
Seniority level within your organisation
(Required)
Please select
Leadership
Senior Management
Mid-Career
Early Career
Apprentice
I would prefer not to say
Industry
Please select the primary industry your organisation works in:
Academic R&D
Air Traffic management
Automotive
Civil Avionics
Energy
Environmental
Financial
Industrial Automation
Medical
Military
Rail
Space
Other
Other
Please provide details on your industry
Dietary Requirements
So that we can cater for your needs please let us know any food allergies or dietary requirements
Access/other requirements
So that we can make any arrangements in advance, please let us know if you have any accessibility or other needs
Please let us know how you heard about HISC 2024
Website
LinkedIn
Attended previously
Word of mouth/colleague
Newsletter
Publication
Other
Other
Additional colleagues
(Required)
If you would like to register up to two colleagues please select 'Yes' If not then select 'No'
Yes
No
Number of additional colleagues
(Required)
1 additional delegate
2 additional delegates
Additional Colleague 1
First Name
(Required)
Surname
(Required)
Job Title
(Required)
Company Name
(Required)
Mobile Contact Number
(Required)
Email
(Required)
Enter Email
Confirm Email
Seniority level within your organisation
(Required)
Please select
Leadership
Senior Management
Mid-Career
Early Career
Apprentice
I would prefer not to say
Dietary Requirements
So that we can cater for your needs please let us know any food allergies or dietary requirements
Access/other requirements
So that we can make any arrangements in advance, please let us know if you have any accessibility or other needs
Additional Colleague 2
First Name
(Required)
Surname
(Required)
Job Title
(Required)
Company Name
(Required)
Mobile Contact Number
(Required)
Email
(Required)
Enter Email
Confirm Email
Seniority level within your organisation
(Required)
Please select
Leadership
Senior Management
Mid-Career
Early Career
Early Career Apprentice
I would prefer not to say
Dietary Requirements
So that we can cater for your needs please let us know any food allergies or dietary requirements
Access/other requirements
So that we can make any arrangements in advance, please let us know if you have any accessibility or other needs
Do you know who will be joining you on your exhibition stand?
(Required)
Yes
No
Exhibitor Colleague
Colleague First Name
(Required)
Colleague Surname
(Required)
Colleague Job Title
(Required)
Colleague Company Name
(Required)
Colleague Email
(Required)
Enter Email
Confirm Email
Colleague Mobile Contact Number
(Required)
Colleague Dietary Requirements
So that we can cater for your needs please let us know any food allergies or dietary requirements
Colleague Access/other requirements
So that we can make any arrangements in advance, please let us know if you have any accessibility or other needs
Payment
Discount Code
If you have a discount code, please enter it here.
Total including VAT
Billing Address
(Required)
Street Address
Address Line 2
City / Town
County
Post Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Credit Card
(Required)
Card Details
Cardholder Name
Permissions
Are you happy to be photographed or filmed at the event
(Required)
Yes
No
Would you like your name, job title and company name listed on the delegate list?
(Required)
Yes
No
I agree to the conference terms & conditions
(Required)
View terms and conditions
Yes
ZiaBia has been appointed by AdaCore and Capgemini to process your information submitted in this form for the sole use of delivering the High Integrity Software Conference 2024. By ticking this box and completing your booking you are confirming acceptance of the use of your data as outlined in their privacy statement.
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View ZiaBia's privacy policy
Yes
By clicking here you are completing your booking. You will receive an automated message confirming your booking and your invoice or payment receipt will be sent separately
Phone
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