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GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual Page 1 of 7 Register 5 save 15%, Register 10 save 20% By registering for this virtual event, you consent to allow IPTC to store and process the information submitted below and to provide you with information about this virtual event in accordance to IPTC Privacy Policy; and accept the Registration Terms and Conditions and agree to be bound by them. You can unsubscribe at any time by sending your request to [email protected]. COMPANY INFORMATION Company Name Mailing Address City State/ Province Postal Code Country Office Phone Office Fax Contact Person Name Job Title Direct Line Mobile Phone Email Address Send me the latest news, events, and product information as it becomes available. Yes No If yes, your information will be used in accordance with IPTC Privacy Policy. Which best describes your organisation’s primary business? (Please check one only) Consulting Education Engineering / Construction Exploration and Production Finance / Insurance / Legal Geosciences Government / Regulators Hardware / Equipment IT and Software Development Manufacturing / Original Equipment Suppliers Marine Services and Shipping Logistics New / Alternative Energy Oilfield Services Telecommunications Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater) Others: _______________________ REGISTRATION CATEGORY FULL ACCESS REGISTRATION ‐Includes access to Conference*, Exhibition**, Sponsored Seminars, Knowledge Sharing ePoster Sessions, Business Matching, On‐Demand Content, Digital Briefcase, Digital Business Card and Conference Digital Proceedings. (A) Member (B) Non‐Member (C) Speaker / Author / Committee / Session Chair USD 345 USD 395 USD 195 * Opening, Executive Plenary, IPTC Insights, Panel, Technical, Ask the Expert and Closing Sessions, Conference Lounge and Meet the Speaker room. ** Interactive exhibition booth features and booth seminar sessions. No Attendee Information Amount (USD) 1 First Name (Forename) Last Name (Surname) Job Title Direct Line Mobile Phone Email Address LinkedIn (Profile URL) Facebook (Profile URL) Twitter (Profile URL) YouTube (Profile URL) Instagram (Profile URL) Category A B C Please indicate your membership of any of the following organisations. (Please select all that apply) AAPG EAGE SEG SPE Others: _______________ Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available. Yes No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience. Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering / Construction Exploration and Production Facilities Finance / Insurance / Legal Geosciences Government / Regulators Hardware / Equipment Integrated Geosciences / Engineering IT and Software Development LNG & GTL / Midstream Gas Manufacturing / Original Equipment Suppliers Marine Services and Shipping Logistics New / Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater) Unconventionals Others: __________________________ Which best describes your job classification? (Please check one only) C‐Level Executive Senior Management / Head of Department / Custodian Manager / Supervisor / Foreman Staff / Executive / Administrator Student Independent / Unemployed Which best describes your job function? (Please check one only) Business / Strategy / Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE / Security / Social Responsibility IT / Data / Analytics Maintenance and Integrity Naval and Marine New / Alternative Energy Power Generation and Transmission / Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales / Marketing / Communications Others: ______________

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  • GROUP REGISTRATION FORMINTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE23 March ‐ 1 April 2021 | Virtual 

    Page 1 of 7 

    Register 5 save 15%, Register 10 save 20% By registering for this virtual event, you consent to allow IPTC to store and process the information submitted below and to provide you with information about this virtual event in accordance to IPTC Privacy Policy; and accept the Registration Terms and Conditions and agree to be bound by them. You can unsubscribe at any time by sending your request to [email protected]. COMPANY INFORMATIONCompany Name 

    Mailing Address 

    City  State/ Province 

    Postal Code  Country 

    Office Phone  Office Fax 

    Contact Person Name  Job Title 

    Direct Line  Mobile Phone 

    Email Address 

    Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy.Which best describes your organisation’s primary business?  (Please check one only)  Consulting     Education    Engineering / Construction     Exploration and Production   Finance / Insurance / Legal     Geosciences   Government / Regulators    Hardware / Equipment   IT and Software Development    Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics   New / Alternative Energy   Oilfield Services               Telecommunications  Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)    Others: _______________________ 

    REGISTRATION CATEGORYFULL ACCESS REGISTRATION ‐Includes access to Conference*, Exhibition**, Sponsored Seminars, Knowledge Sharing ePoster Sessions, Business Matching, On‐Demand Content, Digital Briefcase, Digital Business Card and Conference Digital Proceedings. 

    (A) Member  (B) Non‐Member (C) Speaker / Author / Committee / Session ChairUSD 345  USD 395  USD 195 

    * Opening, Executive Plenary, IPTC Insights, Panel, Technical, Ask the Expert and Closing Sessions, Conference Lounge and Meet the Speaker room. ** Interactive exhibition booth features and booth seminar sessions. 

    No  Attendee Information Amount (USD)1  First Name (Forename)  Last Name (Surname)

    Job Title 

    Direct Line Mobile Phone

    Email Address LinkedIn (Profile URL)

    Facebook (Profile URL) Twitter (Profile URL) 

    YouTube (Profile URL) Instagram (Profile URL)

    Category  A  B  C 

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.   Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

    http://iptcnet.org/privacy-policy/

  •  

    GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual 

     

    Page 2 of 7 

    No  Attendee Information  Amount (USD) 2  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

    3  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

  •  

    GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual 

     

    Page 3 of 7 

    No  Attendee Information  Amount (USD) 4  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

    5  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

  •  

    GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual 

     

    Page 4 of 7 

    No  Attendee Information  Amount (USD) 6  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

    7  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

  •  

    GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual 

     

    Page 5 of 7 

    No  Attendee Information  Amount (USD) 8  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

    9  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

  •  

    GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual 

     

    Page 6 of 7 

    No  Attendee Information  Amount (USD) 10  

     

     

    First Name (Forename)    Last Name (Surname)          

    Job Title          

    Direct Line    Mobile Phone          

    Email Address    LinkedIn (Profile URL)          

    Facebook (Profile URL)    Twitter (Profile URL)          

    YouTube (Profile URL)    Instagram (Profile URL)          

    Category    A    B    C            

    Please indicate your membership of any of the following organisations. (Please select all that apply)  AAPG    EAGE    SEG   SPE    Others: _______________    Membership Number: _____________________ Send me the latest news, events, and product information as it becomes available.    Yes    No If yes, your information will be used in accordance with IPTC Privacy Policy. What are your areas of interest? Answers will help personalise and enhance your networking experience.  Cognitive Computing and Machine Systems    Consulting    Development and Production    Drilling and Completions  Education     Engineering / Construction     Exploration and Production     Facilities     Finance / Insurance / Legal  Geosciences     Government / Regulators    Hardware / Equipment    Integrated Geosciences / Engineering  IT and Software Development    LNG & GTL / Midstream Gas   Manufacturing / Original Equipment Suppliers  Marine Services and Shipping Logistics    New / Alternative Energy    Oilfield Services  Project Management and Facilities    Reservoir     Technologies in Sustainability     Telecommunications     Unmanned/Remote/Autonomous Systems & Vehicles/Drones/Robotics (Surface/Aerial/Underwater)     Unconventionals    Others: __________________________ Which best describes your job classification?  (Please check one only)  C‐Level Executive     Senior Management / Head of Department / Custodian     Manager / Supervisor / Foreman  Staff / Executive / Administrator        Student        Independent / Unemployed Which best describes your job function?  (Please check one only)  Business / Strategy / Economics    Downstream and Petrochemicals   Drilling and Completions  Education   Gas and Pipelines     Geoscience     HSE / Security / Social Responsibility      IT / Data / Analytics  Maintenance and Integrity     Naval and Marine     New / Alternative Energy    Power Generation and Transmission / Regasification      Production and Operations       Projects and Assets  Purchasing and Procurement     Reservoir     Sales / Marketing / Communications    Others: ______________ 

     

     

      TOTAL AMOUNT (USD)   

     PAYMENT METHODS 

     

      Telegraphic Transfer   Bank details will be provided in the invoice.    

      Credit Card 

     IPTC accepts American Express, Visa, MasterCard and Diners Club and payment will be processed in US Dollars only.  To pay online, go to: http://2021.iptcnet.org/. For manual payment, you will receive an email with instruction on securely submitting your payment. 

        

                      

  • GROUP REGISTRATION FORM INTERNATIONAL PETROLEUM TECHNOLOGY CONFERENCE 23 March ‐ 1 April 2021 | Virtual 

    Page 7 of 7 

    GROUP REGISTRATION TERMS & CONDITIONS 

    1. a. b. c. d. e. f. g. 

    2. 

    3. a. b. c. d. 

    4. a. 

    b. 

    c. 

    d. 

    e. 

    5. 

    6. a. 

    b. 

    c. 

    d. 

    7. a. b. 

    Registration Fee Group must be registered at one time to entitle for group registration package. Registration for this virtual event is personal to you. Viewing and materials may not be shared with non‐registered individuals without express consent from IPTC. Each participant is limited to maximum of one (1) device to access/login into the virtual event. Registration is non‐transferable without written notification to IPTC. Registration of participation will only be confirmed upon receipt of full payment or an acceptable employer’s letter of guarantee. IPTC reserves the right to cancel the registration if no payment is received prior to or on the date of the virtual event. Full fee is charged regardless of the length of time the Participant attends the virtual event and cannot be pro‐rated. 

    Taxes Fees  are made  free and  clear of,  and without  any deduction or withholding  for and on account of,  any  taxes,  duties or other deductions. Any  such deduction or withholding, if required by the laws of any country are the sole responsibility of the Participant. 

    Cancellation Policy A processing fee of USD 50.00 per person will be charged for cancellation received before 18 March 2021. No refund for cancellation received after 18 March 2021. Participants who failed to attend will not be eligible for a refund. Cancellation must be notified in writing to IPTC. Email your cancellation request to [email protected].  

    Code of Conduct IPTC is committed to providing a professional, friendly and safe environment for all participants at its events, regardless of gender, sexual orientation, disability, race, ethnicity, religion, national origin or other protected class. This code of conduct outlines the IPTC expectations for all participants, including attendees, speakers, vendors, media, exhibitors, sponsors and volunteers. Cooperation is expected from everyone, and IPTC will actively enforce this code throughout this event.  Participants will be provided with personalised credentials allowing them access to the virtual event. These credentials are personal and non‐transferable. Non‐registered individuals and minors will not be able to access the virtual event, unless upon prior agreement with IPTC. IPTC expects all event participants to help ensure a safe and positive experience for everyone. Unacceptable behaviour will not be tolerated during any portion of a meeting or event. Unacceptable behaviour includes but is not limited to: 

    i. Intimidating, harassing, abusive, discriminatory, derogatory or demeaning speech or actions. ii. Harmful  or  prejudicial  verbal  or  written  comments  or  visual  images  related  to  gender,  sexual  orientation,  race,  religion,  disability  or  other  personal 

    characteristics, including those protected by law. iii. Inappropriate contact including via electronic communications. iv. The production or non‐consensual sharing of harassing non‐consensual photography or unwanted recording, including nudity and/or sexual images in virtual 

    event (in any format, electronic or otherwise). v. Real or implied threat of professional or financial damage or harm. vi. Inappropriate and sustained disruption of sessions, meetings and/or events. vii. Photographing, video or audio recording of slides, oral or presentations without prior written permission from IPTC. viii. Violating the rules and regulations of the virtual event platform. ix. Cybercrime and dubious online practises include but not limited to phishing, spamming, spoofing and cyberstalking. x. Inappropriate self‐presentation or attire. Business casual dress code is preferred. 

    Reporting of harassment and disruptive behaviours can be made to [email protected].  Consequences of misconduct may include: 

    i. Immediate removal from meetings and/or events without warning. ii. Restrictions from future IPTC events. 

    IPTC reserves all rights to take any action to prevent and report violations of the Code of Conduct, including blocking access to IPTC events.  IPTC cannot investigate reports of harassment or other misconduct during the virtual event but will inform the appropriate departments of the accused person’s host institution about any such filed report. 

    Copyright All content contained within the IPTC events is copyrighted either by IPTC or other providers and its capture in any format, use and/or reproduction outside the portal is strictly prohibited without express permission from the content owner(s). 

    Privacy Policy IPTC cares about the protection of participants’ personal information. IPTC complies with applicable privacy laws, including GDPR, in collecting and processing your data. Participants have control over how much of their personal data is shown to other users for networking purposes. Participants can manage the data in their personal profile within the virtual event platform. The virtual event platform provider processes the data attributed to this event on behalf of IPTC. IPTC collects and processes data for the purposes of fulfilling your registration order, analysing how this platform performs and is used, and marketing for future related IPTC events. All participants maintain the right of erasure and can withdraw their consent at any time. Please see IPTC Privacy Policy for additional information. By engaging with sponsor and exhibitor booths or content, participants are consenting to exhibiting and sponsoring companies having access to the personal data that is public in their personal profile. Participants will need to contact the exhibiting and sponsoring companies regarding their privacy policies and to request erasure. Through the virtual event platform, participants may request to connect, which the receiving participant has the option to accept or decline. The platform’s networking technology also recommends to participants related content and participants who match their interests. For any queries or concerns please contact the events team at [email protected]

    Disclaimer IPTC reserves the right to change the speaker(s), date(s) and/or to cancel the virtual event should circumstance beyond its control arises. IPTC will not be liable to Participants for any damages, costs, losses or expenses of any kind incurred or suffered by Participants as a result of or in relation to IPTC modifying, postponing or cancelling the virtual event or any part of the virtual event. 

    IPTC Contact: International Petroleum Technology Conference Email: [email protected]   

    http://iptcnet.org/privacy-policy/

    Company Name: Mailing Address: City: State Province: Postal Code: Country: Office Phone: Office Fax: Contact Person Name: Job Title: Direct Line: Mobile Phone: Email Address: Send me the latest news events and product information as it becomes available: OffConsulting: OffEducation: OffEngineering Construction: OffExploration and Production: OffFinance Insurance Legal: OffGeosciences: OffGovernment Regulators: OffHardware Equipment: OffIT and Software Development: OffManufacturing Original Equipment Suppliers: OffMarine Services and Shipping Logistics: OffNew Alternative Energy: OffOilfield Services: OffTelecommunications: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater: OffOthers: Offundefined: First Name Forename: Last Name Surname: Mobile Phone_2: undefined_2: undefined_3: undefined_4: LinkedIn Profile URL: Facebook Profile URL: Twitter Profile URL: YouTube Profile URL: Instagram Profile URL: A: OffB: OffC: OffAAPG: OffEAGE: OffSEG: OffSPE: OffOthers_2: OffSend me the latest news events and product information as it becomes available_2: Membership Number: undefined_5: OffCognitive Computing and Machine Systems: OffEducation_2: OffGeosciences_2: OffIT and Software Development_2: OffMarine Services and Shipping Logistics_2: OffProject Management and Facilities: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_2: OffUnconventionals: OffConsulting_2: OffDevelopment and Production: OffDrilling and Completions: OffEngineering Construction_2: OffExploration and Production_2: OffFacilities: OffFinance Insurance Legal_2: OffGovernment Regulators_2: OffHardware Equipment_2: OffIntegrated Geosciences Engineering: OffLNG GTL Midstream Gas: OffManufacturing Original Equipment Suppliers_2: OffNew Alternative Energy_2: OffOilfield Services_2: OffReservoir: OffTechnologies in Sustainability: OffTelecommunications_2: OffWhich best describes your job classification Please check one only: Others_3: OffCLevel Executive: OffSenior Management Head of Department Custodian: OffManager Supervisor Foreman: OffStaff Executive Administrator: OffStudent: OffIndependent Unemployed: OffBusiness Strategy Economics: OffGas and Pipelines: OffMaintenance and Integrity: OffPower Generation and Transmission Regasification: OffPurchasing and Procurement: OffDownstream and Petrochemicals: OffDrilling and Completions_2: OffEducation_3: OffGeoscience: OffHSE Security Social Responsibility: OffIT Data Analytics: OffNaval and Marine: OffNew Alternative Energy_3: OffProduction and Operations: OffProjects and Assets: OffReservoir_2: OffSales Marketing Communications: OffOthers_4: Offundefined_6: Amount USDFirst Name Forename Last Name Surname Job Title Direct Line Mobile Phone Email Address LinkedIn Profile URL Facebook Profile URL Twitter Profile URL YouTube Profile URL Instagram Profile URL Category A B C Please indicate your membership of any of the following organisations Please select all that apply AAPG EAGE SEG SPE Others Membership Number Send me the latest news events and product information as it becomes available Yes No If yes your information will be used in accordance with IPTC Privacy Policy What are your areas of interest Answers will help personalise and enhance your networking experience Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering Construction Exploration and Production Facilities Finance Insurance Legal Geosciences Government Regulators Hardware Equipment Integrated Geosciences Engineering IT and Software Development LNG GTL Midstream Gas Manufacturing Original Equipment Suppliers Marine Services and Shipping Logistics New Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications UnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others: First Name Forename_2: Last Name Surname_2: Mobile Phone_3: undefined_7: undefined_8: undefined_9: LinkedIn Profile URL_2: Facebook Profile URL_2: Twitter Profile URL_2: YouTube Profile URL_2: Instagram Profile URL_2: A_2: OffB_2: OffC_2: OffAAPG_2: OffEAGE_2: OffSEG_2: OffSPE_2: OffOthers_5: OffSend me the latest news events and product information as it becomes available_3: Membership Number_2: undefined_10: OffCognitive Computing and Machine Systems_2: OffEducation_4: OffGeosciences_3: OffIT and Software Development_3: OffMarine Services and Shipping Logistics_3: OffProject Management and Facilities_2: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_3: OffUnconventionals_2: OffConsulting_3: OffDevelopment and Production_2: OffDrilling and Completions_3: OffEngineering Construction_3: OffExploration and Production_3: OffFacilities_2: OffFinance Insurance Legal_3: OffGovernment Regulators_3: OffHardware Equipment_3: OffIntegrated Geosciences Engineering_2: OffLNG GTL Midstream Gas_2: OffManufacturing Original Equipment Suppliers_3: OffNew Alternative Energy_4: OffOilfield Services_3: OffReservoir_3: OffTechnologies in Sustainability_2: OffTelecommunications_3: OffWhich best describes your job classification Please check one only_2: Others_6: OffCLevel Executive_2: OffSenior 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classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_2: First Name Forename_3: Last Name Surname_3: Mobile Phone_4: undefined_12: undefined_13: undefined_14: LinkedIn Profile URL_3: Facebook Profile URL_3: Twitter Profile URL_3: YouTube Profile URL_3: Instagram Profile URL_3: A_3: OffB_3: OffC_3: OffAAPG_3: OffEAGE_3: OffSEG_3: OffSPE_3: OffOthers_8: OffSend me the latest news events and product information as it becomes available_4: Membership Number_3: undefined_15: OffCognitive Computing and Machine Systems_3: OffEducation_6: OffGeosciences_4: OffIT and Software Development_4: OffMarine Services and Shipping Logistics_4: OffProject Management and Facilities_3: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_4: OffUnconventionals_3: OffConsulting_4: OffDevelopment and Production_3: OffDrilling and Completions_5: OffEngineering Construction_4: OffExploration and Production_4: OffFacilities_3: OffFinance Insurance Legal_4: OffGovernment Regulators_4: OffHardware Equipment_4: OffIntegrated Geosciences Engineering_3: OffLNG GTL Midstream Gas_3: OffManufacturing Original Equipment Suppliers_4: OffNew Alternative Energy_6: OffOilfield Services_4: OffReservoir_5: OffTechnologies in Sustainability_3: OffTelecommunications_4: OffWhich best describes your job classification Please check one only_3: Others_9: OffCLevel Executive_3: OffSenior 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classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_3: First Name Forename_4: Last Name Surname_4: Mobile Phone_5: undefined_17: undefined_18: undefined_19: LinkedIn Profile URL_4: Facebook Profile URL_4: Twitter Profile URL_4: YouTube Profile URL_4: Instagram Profile URL_4: A_4: OffB_4: OffC_4: OffAAPG_4: OffEAGE_4: OffSEG_4: OffSPE_4: OffOthers_11: OffSend me the latest news events and product information as it becomes available_5: Membership Number_4: undefined_20: OffCognitive Computing and Machine Systems_4: OffEducation_8: OffGeosciences_5: OffIT and Software Development_5: OffMarine Services and Shipping Logistics_5: OffProject Management and Facilities_4: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_5: OffUnconventionals_4: OffConsulting_5: OffDevelopment and Production_4: OffDrilling and Completions_7: OffEngineering Construction_5: OffExploration and Production_5: OffFacilities_4: OffFinance Insurance Legal_5: OffGovernment Regulators_5: OffHardware Equipment_5: OffIntegrated Geosciences Engineering_4: OffLNG GTL Midstream Gas_4: OffManufacturing Original Equipment Suppliers_5: OffNew Alternative Energy_8: OffOilfield Services_5: OffReservoir_7: OffTechnologies in Sustainability_4: OffTelecommunications_5: OffWhich best describes your job classification Please check one only_4: Others_12: OffCLevel Executive_4: OffSenior 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classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_4: First Name Forename_5: Last Name Surname_5: Mobile Phone_6: undefined_22: undefined_23: undefined_24: LinkedIn Profile URL_5: Facebook Profile URL_5: Twitter Profile URL_5: YouTube Profile URL_5: Instagram Profile URL_5: A_5: OffB_5: OffC_5: OffAAPG_5: OffEAGE_5: OffSEG_5: OffSPE_5: OffOthers_14: OffSend me the latest news events and product information as it becomes available_6: Membership Number_5: undefined_25: OffCognitive Computing and Machine Systems_5: OffEducation_10: OffGeosciences_6: OffIT and Software Development_6: OffMarine Services and Shipping Logistics_6: OffProject Management and Facilities_5: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_6: OffUnconventionals_5: OffConsulting_6: OffDevelopment and Production_5: OffDrilling and Completions_9: OffEngineering Construction_6: OffExploration and Production_6: OffFacilities_5: OffFinance Insurance Legal_6: OffGovernment Regulators_6: OffHardware Equipment_6: OffIntegrated Geosciences Engineering_5: OffLNG GTL Midstream Gas_5: OffManufacturing Original Equipment Suppliers_6: OffNew Alternative Energy_10: OffOilfield Services_6: OffReservoir_9: OffTechnologies in Sustainability_5: OffTelecommunications_6: OffWhich best describes your job classification Please check one only_5: Others_15: OffCLevel Executive_5: OffSenior Management Head of Department Custodian_5: OffManager Supervisor Foreman_5: OffStaff Executive Administrator_5: OffStudent_5: OffIndependent Unemployed_5: OffBusiness Strategy Economics_5: OffGas and Pipelines_5: OffMaintenance and Integrity_5: OffPower Generation and Transmission Regasification_5: OffPurchasing and Procurement_5: OffDownstream and Petrochemicals_5: OffDrilling and Completions_10: OffEducation_11: OffGeoscience_5: OffHSE Security Social Responsibility_5: OffIT Data Analytics_5: OffNaval and Marine_5: OffNew Alternative Energy_11: OffProduction and Operations_5: OffProjects and Assets_5: OffReservoir_10: OffSales Marketing Communications_5: OffOthers_16: Offundefined_26: Amount USDFirst Name Forename Last Name Surname Job Title Direct Line Mobile Phone Email Address LinkedIn Profile URL Facebook Profile URL Twitter Profile URL YouTube Profile URL Instagram Profile URL Category A B C Please indicate your membership of any of the following organisations Please select all that apply AAPG EAGE SEG SPE Others Membership Number Send me the latest news events and product information as it becomes available Yes No If yes your information will be used in accordance with IPTC Privacy Policy What are your areas of interest Answers will help personalise and enhance your networking experience Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering Construction Exploration and Production Facilities Finance Insurance Legal Geosciences Government Regulators Hardware Equipment Integrated Geosciences Engineering IT and Software Development LNG GTL Midstream Gas Manufacturing Original Equipment Suppliers Marine Services and Shipping Logistics New Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications UnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_5: First Name Forename_6: Last Name Surname_6: Mobile Phone_7: undefined_27: undefined_28: undefined_29: LinkedIn Profile URL_6: Facebook Profile URL_6: Twitter Profile URL_6: YouTube Profile URL_6: Instagram Profile URL_6: A_6: OffB_6: OffC_6: OffAAPG_6: OffEAGE_6: OffSEG_6: OffSPE_6: OffOthers_17: OffSend me the latest news events and product information as it becomes available_7: Membership Number_6: undefined_30: OffCognitive Computing and Machine Systems_6: OffEducation_12: OffGeosciences_7: OffIT and Software Development_7: OffMarine Services and Shipping Logistics_7: OffProject Management and Facilities_6: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_7: OffUnconventionals_6: OffConsulting_7: OffDevelopment and Production_6: OffDrilling and Completions_11: OffEngineering Construction_7: OffExploration and Production_7: OffFacilities_6: OffFinance Insurance Legal_7: OffGovernment Regulators_7: OffHardware Equipment_7: OffIntegrated Geosciences Engineering_6: OffLNG GTL Midstream Gas_6: OffManufacturing Original Equipment Suppliers_7: OffNew Alternative Energy_12: OffOilfield Services_7: OffReservoir_11: OffTechnologies in Sustainability_6: OffTelecommunications_7: OffWhich best describes your job classification Please check one only_6: Others_18: 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organisations Please select all that apply AAPG EAGE SEG SPE Others Membership Number Send me the latest news events and product information as it becomes available Yes No If yes your information will be used in accordance with IPTC Privacy Policy What are your areas of interest Answers will help personalise and enhance your networking experience Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering Construction Exploration and Production Facilities Finance Insurance Legal Geosciences Government Regulators Hardware Equipment Integrated Geosciences Engineering IT and Software Development LNG GTL Midstream Gas Manufacturing Original Equipment Suppliers Marine Services and Shipping Logistics New Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications UnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_6: First Name Forename_7: Last Name Surname_7: Mobile Phone_8: undefined_32: undefined_33: undefined_34: LinkedIn Profile URL_7: Facebook Profile URL_7: Twitter Profile URL_7: YouTube Profile URL_7: Instagram Profile URL_7: A_7: OffB_7: OffC_7: OffAAPG_7: OffEAGE_7: OffSEG_7: OffSPE_7: OffOthers_20: OffSend me the latest news events and product information as it becomes available_8: Membership Number_7: undefined_35: OffCognitive Computing and Machine Systems_7: OffEducation_14: OffGeosciences_8: OffIT and Software Development_8: OffMarine Services and Shipping Logistics_8: OffProject Management and Facilities_7: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_8: OffUnconventionals_7: OffConsulting_8: OffDevelopment and Production_7: OffDrilling and Completions_13: OffEngineering Construction_8: OffExploration and Production_8: OffFacilities_7: OffFinance Insurance Legal_8: OffGovernment Regulators_8: OffHardware Equipment_8: OffIntegrated Geosciences Engineering_7: OffLNG GTL Midstream Gas_7: OffManufacturing Original Equipment Suppliers_8: OffNew Alternative Energy_14: OffOilfield Services_8: OffReservoir_13: OffTechnologies in Sustainability_7: OffTelecommunications_8: OffWhich best describes your job classification Please check one only_7: Others_21: OffCLevel Executive_7: OffSenior Management Head of Department Custodian_7: OffManager Supervisor Foreman_7: OffStaff Executive Administrator_7: OffStudent_7: OffIndependent Unemployed_7: OffBusiness Strategy Economics_7: OffGas and Pipelines_7: OffMaintenance and Integrity_7: OffPower Generation and Transmission Regasification_7: OffPurchasing and Procurement_7: OffDownstream and Petrochemicals_7: OffDrilling and Completions_14: OffEducation_15: OffGeoscience_7: OffHSE Security Social Responsibility_7: OffIT Data Analytics_7: OffNaval and Marine_7: OffNew Alternative Energy_15: OffProduction and Operations_7: OffProjects and Assets_7: OffReservoir_14: OffSales Marketing Communications_7: OffOthers_22: Offundefined_36: Amount USDFirst Name Forename Last Name Surname Job Title Direct Line Mobile Phone Email Address LinkedIn Profile URL Facebook Profile URL Twitter Profile URL YouTube Profile URL Instagram Profile URL Category A B C Please indicate your membership of any of 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Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_7: First Name Forename_8: Last Name Surname_8: Mobile Phone_9: undefined_37: undefined_38: undefined_39: LinkedIn Profile URL_8: Facebook Profile URL_8: Twitter Profile URL_8: YouTube Profile URL_8: Instagram Profile URL_8: A_8: OffB_8: OffC_8: OffAAPG_8: OffEAGE_8: OffSEG_8: OffSPE_8: OffOthers_23: OffSend me the latest news events and product information as it becomes available_9: Membership Number_8: undefined_40: OffCognitive Computing and Machine Systems_8: OffEducation_16: OffGeosciences_9: OffIT and Software Development_9: OffMarine Services and Shipping Logistics_9: OffProject Management and Facilities_8: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_9: OffUnconventionals_8: OffConsulting_9: OffDevelopment and Production_8: OffDrilling and Completions_15: OffEngineering Construction_9: OffExploration and Production_9: OffFacilities_8: OffFinance Insurance Legal_9: OffGovernment Regulators_9: OffHardware Equipment_9: OffIntegrated Geosciences Engineering_8: OffLNG GTL Midstream Gas_8: OffManufacturing Original Equipment Suppliers_9: OffNew Alternative Energy_16: OffOilfield Services_9: OffReservoir_15: OffTechnologies in Sustainability_8: OffTelecommunications_9: OffWhich best describes your job classification Please check 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of any of the following organisations Please select all that apply AAPG EAGE SEG SPE Others Membership Number Send me the latest news events and product information as it becomes available Yes No If yes your information will be used in accordance with IPTC Privacy Policy What are your areas of interest Answers will help personalise and enhance your networking experience Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering Construction Exploration and Production Facilities Finance Insurance Legal Geosciences Government Regulators Hardware Equipment Integrated Geosciences Engineering IT and Software Development LNG GTL Midstream Gas Manufacturing Original Equipment Suppliers Marine Services and Shipping Logistics New Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications UnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_8: First Name Forename_9: Last Name Surname_9: Mobile Phone_10: undefined_42: undefined_43: undefined_44: LinkedIn Profile URL_9: Facebook Profile URL_9: Twitter Profile URL_9: YouTube Profile URL_9: Instagram Profile URL_9: A_9: OffB_9: OffC_9: OffAAPG_9: OffEAGE_9: OffSEG_9: OffSPE_9: OffOthers_26: OffSend me the latest news events and product information as it becomes available_10: Membership Number_9: undefined_45: OffCognitive Computing and Machine Systems_9: OffEducation_18: OffGeosciences_10: OffIT and Software Development_10: OffMarine Services and Shipping Logistics_10: OffProject Management and Facilities_9: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_10: OffUnconventionals_9: OffConsulting_10: OffDevelopment and Production_9: OffDrilling and Completions_17: OffEngineering Construction_10: OffExploration and Production_10: OffFacilities_9: OffFinance Insurance Legal_10: OffGovernment Regulators_10: OffHardware Equipment_10: OffIntegrated Geosciences Engineering_9: OffLNG GTL Midstream Gas_9: OffManufacturing Original Equipment Suppliers_10: OffNew Alternative Energy_18: OffOilfield Services_10: OffReservoir_17: OffTechnologies in Sustainability_9: OffTelecommunications_10: OffWhich best describes your job classification Please check one only_9: Others_27: OffCLevel Executive_9: OffSenior Management Head of Department Custodian_9: OffManager Supervisor Foreman_9: OffStaff Executive Administrator_9: OffStudent_9: OffIndependent Unemployed_9: OffBusiness Strategy Economics_9: OffGas and Pipelines_9: OffMaintenance and Integrity_9: OffPower Generation and Transmission Regasification_9: OffPurchasing and Procurement_9: OffDownstream and Petrochemicals_9: OffDrilling and Completions_18: OffEducation_19: OffGeoscience_9: OffHSE Security Social Responsibility_9: OffIT Data Analytics_9: OffNaval and Marine_9: OffNew Alternative Energy_19: OffProduction and Operations_9: OffProjects and Assets_9: OffReservoir_18: OffSales Marketing Communications_9: OffOthers_28: Offundefined_46: Amount USDFirst Name Forename Last Name Surname Job Title Direct Line Mobile Phone Email Address LinkedIn Profile URL Facebook Profile URL Twitter Profile URL YouTube Profile URL Instagram Profile URL Category A B C Please indicate your membership of any of the following organisations Please select all that apply AAPG EAGE SEG SPE Others Membership Number Send me the latest news events and product information as it becomes available Yes No If yes your information will be used in accordance with IPTC Privacy Policy What are your areas of interest Answers will help personalise and enhance your networking experience Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering Construction Exploration and Production Facilities Finance Insurance Legal Geosciences Government Regulators Hardware Equipment Integrated Geosciences Engineering IT and Software Development LNG GTL Midstream Gas Manufacturing Original Equipment Suppliers Marine Services and Shipping Logistics New Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications UnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_9: First Name Forename_10: Last Name Surname_10: Mobile Phone_11: undefined_47: undefined_48: undefined_49: LinkedIn Profile URL_10: Facebook Profile URL_10: Twitter Profile URL_10: YouTube Profile URL_10: Instagram Profile URL_10: A_10: OffB_10: OffC_10: OffAAPG_10: OffEAGE_10: OffSEG_10: OffSPE_10: OffOthers_29: OffSend me the latest news events and product information as it becomes available_11: Membership Number_10: undefined_50: OffCognitive Computing and Machine Systems_10: OffEducation_20: OffGeosciences_11: OffIT and Software Development_11: OffMarine Services and Shipping Logistics_11: OffProject Management and Facilities_10: OffUnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater_11: OffUnconventionals_10: OffConsulting_11: OffDevelopment and Production_10: OffDrilling and Completions_19: OffEngineering Construction_11: OffExploration and Production_11: OffFacilities_10: OffFinance Insurance Legal_11: OffGovernment Regulators_11: OffHardware Equipment_11: OffIntegrated Geosciences Engineering_10: OffLNG GTL Midstream Gas_10: OffManufacturing Original Equipment Suppliers_11: OffNew Alternative Energy_20: OffOilfield Services_11: OffReservoir_19: OffTechnologies in Sustainability_10: OffTelecommunications_11: OffWhich best describes your job classification Please check one only_10: Others_30: OffCLevel Executive_10: OffSenior Management Head of Department Custodian_10: OffManager Supervisor Foreman_10: OffStaff Executive Administrator_10: OffStudent_10: OffIndependent Unemployed_10: OffBusiness Strategy Economics_10: OffGas and Pipelines_10: OffMaintenance and Integrity_10: OffPower Generation and Transmission Regasification_10: OffPurchasing and Procurement_10: OffDownstream and Petrochemicals_10: OffDrilling and Completions_20: OffEducation_21: OffGeoscience_10: OffHSE Security Social Responsibility_10: OffIT Data Analytics_10: OffNaval and Marine_10: OffNew Alternative Energy_21: OffProduction and Operations_10: OffProjects and Assets_10: OffReservoir_20: OffSales Marketing Communications_10: OffOthers_31: Offundefined_51: Amount USDFirst Name Forename Last Name Surname Job Title Direct Line Mobile Phone Email Address LinkedIn Profile URL Facebook Profile URL Twitter Profile URL YouTube Profile URL Instagram Profile URL Category A B C Please indicate your membership of any of the following organisations Please select all that apply AAPG EAGE SEG SPE Others Membership Number Send me the latest news events and product information as it becomes available Yes No If yes your information will be used in accordance with IPTC Privacy Policy What are your areas of interest Answers will help personalise and enhance your networking experience Cognitive Computing and Machine Systems Consulting Development and Production Drilling and Completions Education Engineering Construction Exploration and Production Facilities Finance Insurance Legal Geosciences Government Regulators Hardware Equipment Integrated Geosciences Engineering IT and Software Development LNG GTL Midstream Gas Manufacturing Original Equipment Suppliers Marine Services and Shipping Logistics New Alternative Energy Oilfield Services Project Management and Facilities Reservoir Technologies in Sustainability Telecommunications UnmannedRemoteAutonomous Systems VehiclesDronesRobotics SurfaceAerialUnderwater Unconventionals Others Which best describes your job classification Please check one only CLevel Executive Senior Management Head of Department Custodian Manager Supervisor Foreman Staff Executive Administrator Student Independent Unemployed Which best describes your job function Please check one only Business Strategy Economics Downstream and Petrochemicals Drilling and Completions Education Gas and Pipelines Geoscience HSE Security Social Responsibility IT Data Analytics Maintenance and Integrity Naval and Marine New Alternative Energy Power Generation and Transmission Regasification Production and Operations Projects and Assets Purchasing and Procurement Reservoir Sales Marketing Communications Others_10: Amount USDTOTAL AMOUNT USD: Telegraphic Transfer: OffCredit Card: Off