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Registration
One Participant - Registration includes presentations, workshops, documentation and materials as well as all drinks and meals. The total costs for one attendee are € 360.00 including 19% VAT.
Two Participants from one company - Registration includes presentations, workshops, documentation and materials as well as all drinks and meals. The total costs for two attendees are € 670.00 including 19% VAT.
COMPANY INFORMATION
Company name: *
VAT ID:
Street address: *
Zip code: *
City: *
Country: *
PERSONAL INFORMATION
First name: *
Last name: *
Title/Position:
Name displayed on badge: *
Company name displayed on badge:
Preferred language: *
English
German
Special food:
Vegetarian
E-Mail address: *
Phone number: *
Mobile phone number:
Fax number: *
TRAVEL INFORMATION
Date of arrival:
(dd.mm.yyyy)
Flight number:
Date of departure:
(dd.mm.yyyy)
Flight number:
PERSONAL INFORMATION (Attendee 2)
First name: *
Last name: *
Title/Position:
Name displayed on badge: *
Company name displayed on badge:
Preferred language: *
English
German
Special food:
Vegetarian
E-Mail address: *
Phone number: *
Mobile phone number:
Fax number: *
TRAVEL INFORMATION (Attendee 2)
Date of arrival:
(dd.mm.yyyy)
Flight number:
Date of departure:
(dd.mm.yyyy)
Flight number:
PAYMENT INFORMATION
Invoice recipient:
(if different from above)
VAT ID:
Street address:
Zip code:
City:
Country:
VISA
MasterCard
American Express
Bank transfer
Name on card:
Card number:
Expiration date:
Full payment required. Cancellations received by 15 September 2007 are subject to a cancellation fee of € 50.00. No refund for later cancellations or no-shows.
Registration does not include hotel or airfare. To book a room at the conference hotel please contact...
Yes, please include my collateral/business card/gift with the complimentary conference pack. The extra costs are € 50.00.
Contact:
Publicom GmbH
Kleiststrasse 35
10787 Berlin
Germany
Tel.: +49-30-23 62 65 21
Fax: +49-30-23 62 96 51
conference@publicom.info