virtualWOMEX registration form



Fill in this form and submit, to be an active member of the virtualWOMEX network and community

Attention: This form is for registration of virtualWOMEX only!
If you want to register for the WOMEX 2008 in Sevilla please go to this page.

I / we will be attending virtualWOMEX:
name of company or individual
website
address
city code
city
country
general phone
general fax
general eMail
This form allows registration of max 3 persons per company.
1. PERSON
last name
first name
function
direct phone
direct eMail
2. PERSON
last name
first name
function
direct phone
direct eMail
3. PERSON
last name
first name
function
direct phone
direct eMail
Please tick your company´s activities:
ARTIST
agent/booker
band/soloist
composer/songwriter         
dj
manager
MEDIA
multimedia prod.
online
photo
print
publicity/pr
radio
tv
video/film prod.
PUBLISHER
books
music
RECORDS
distribution
label
manufacturing
producer
studio
TRADE
mail order
online-shop
retail
wholesale
INSTITUTION
cult. inst.
educational
governmental
library/archive
network
non-governmental
research
PROMOTOR
conference
concert promotor
festival
tour
trade fair
special event/award
venue/club
SERVICES
accomodation
advertising
catering
computer/online
consultant
design/artwork
engineer
equipment
instruments
legal/bookkeeping
merchandising
security
transport
OTHER
payment possible with creditcard only!
rate  
for 6 months EURO 55  
for 12 months EURO 99
Creditcard (please tick)
amex  
MASTERcard/EUROcard
visa
expire date month   year    
card number  
CVV2/CVC2 What is 'CVV2/CVC2'?  
name on card  
  • General Terms:
  • Minimum participation period is 6 months
  • The fee for use over a 6 month period is 55 Euro
  • The fee for use over a 12 month period is 99 Euro
  • Calculate exchange rates.
  • Payment exclusively with creditcard (AMEX, Visacard, Mastercard)
  • Termination of contract can be done at any point up to the last month before the participation period expires (informal notice of cancellation to be done through e-mail virtual@womex.com, only valid with a confirmation from virtualWOMEX); otherwise your membership will be extended automatically.
  • Please allow us a few days to build up your virtualStand and environment
  • This contract is based on our General Terms of Bussiness of the virtualWOMEX which you can find at
  • For any questions concerning the registration process of virtualWOMEX please contact virtual@womex.com
  • This form will be sent via email.
    You can also fill and print it out and:
    -Fax to: +49 (0)30 318 614 10
    -or Snail Mail to:
     WOMEX AG
     Bergmannstr. 102
     10 961 Berlin
     Germany
TERMS OF PAYMENT
In Euro-currency only / full payment or proof of money transfer must accompany registration form / registration only valid with a completed Registration Form / virtualWOMEX will not be responsible for any 3rd party liability incurred by participants as a result of any alteration of format, date and location of the website / all prices include VAT at appropriate rate / any cancellation must be received as an email to virtual@womex.com / your registration includes the building up of your own virtual trade fair stand into the expo halls of virtualWOMEX at www.womex.com, access to all areas of virtualWOMEX and the right to submit data into virtualWOMEX / This contract is based on our General Terms of Bussiness of the virtualWOMEX which you can find at.
I am aware, that I agree to virtualWOMEX terms of payment
anytime I submit an order using this mailform !