Please fill out this form as completely as possible. You will receive a confirmation email containing a link allowing you to re-enter the site at your convenience and update your details with any information you do not know at this stage.
Het mobiel nummer dient te worden geverifieerd. Klik op de knop om via SMS een code te ontvangen en vul die hieronder in.
Delegate Type *
Fill in your country code and VAT number below:
Please provide contact details of someone we can contact in case of an emergency while you are at INC
Emergency Contact Name
Emergency Contact Phone Number mobile
Special Dietary Requirments
Please advise us of any special dietary requirements: (e.g. Vegetarian, Vegan, Halal, no seafood, no red meat etc that either yourself or your partner may have). It is important to advise us as soon as possible as last minute arrangements may not be possible.
I will be attending INC Rotterdam 2015 with a partner
Special Dietary Requirements:
Partner ProgrammeSee Partner Programme page for full details
Would your partner like to attend the Coffee Morning?
Would your partner like to attend the City Tour?
Number of rooms required *
Forum Room Requirements
Accommodation rates include three nights from 13th to 15th November. Including breakfast, taxes and service
What kind of hotel room do you prefer?
Double Occupancy - 13th to 15th November (€540)
Single Occupancy - 13th to 15th November (€471)
Additional Room requirements - pre-INC
Subject to availability
Double Occupancy - €180.00 per room per additional nightSingle Occupancy - €157.00 per room per additional night
Additional Room requirements - post-INC
Accommodation Cancellation Policy
Cancellation between 89 and 60 days prior to arrival will incur a penalty of 25%Cancellation between 59 and 30 days prior to arrival will incur a penalty of 50%Cancellation between 29 and 15 days prior to arrival will incur a penalty of 75%Cancellation within 14 days prior to arrival will incur a penalty of 100%
You will receive a payment request for your accommodation in due course when the reservation is confirmed by the hotel.
Please complete your passport details below, we require these to speed up check in on arrival to the Hilton Rotterdam. If you do not have your passport details available you can complete this section at a later date.
Date of Issue (dd-mm-yy):
Date of Expiry (dd-mm-yy):
Place of Issue:
Date of Birth (dd-mm-yy):
Do you know your flight details yet?(If you have not yet booked your flights these details can be provided at a later date)
Arrival Flight DetailsDate (dd-mm-yy):
Airline and Flight No.
Departure Time (hh:mm):
Arrival Time (hh:mm):
Departure Flight DetailsDate (dd-mm-yy):
Wilt u een collega uitnodigen voor dit evenement? Vul hieronder de gegevens in.
Registration fee options:
Let op: Alleen de organisator kan de gekozen betaalonderdelen aanpassen wanneer u al eerder betaald heeft.
Totaal: € 450,00
Exclusief € 94,50 BTW. (€ 544,50 incl. BTW)
Er zijn nog enkele verplichte vragen niet ingevuld ().
INC Rotterdam firstname.lastname@example.org
INC Rotterdam 2015INC Rotterdam 20150.00
Beurs-WTC Congress & Event CenterBeurs-WTC Congress & Event CenterStadsdriehoek