Form of address --- Mr. Ms. Mrs.

Title --- Prof. Prof. Dr. Dr. PhD. Prof. PhD.

First Name/s*

Name*

Company / Organisation*

Invoice Address*

PostcodeOrt

Country*

Phone*

E-mail*

Dinner**
I register bindingly a further person / further persons for the dinner:

Number of persons

Names of further persons

* All marked fields must be filled.

** You have the possibility to participate in a dinner on April 7^th, 2011. The price for the visit of the miniature city, the dinner and the drinks is 60 € net (71.40 € gross, incl. 19% Dutch VAT).

Contractual terms

Form of payment

After having received the registration you will get the invoice with all necessary details by e-mail or mail. The invoice serves at the same time as the confirmation, a separate confirmation will not be sent. The transfer of the amount is to realize within 10 days after receipt of invoice.

If the registration is after March 10^th 2011, the bank transfer voucher has to be sent by e-mail (pia.kathoefer(at)vdtuev.de) or fax (+49 30 76 00 95-331).

All bank charges are on account of the participant.

Cancellation

Participation can be cancelled free of charge until February 28^th, 2011. If participation is cancelled between February 28^th and March 10^th 2011 50% of the participation fee will be refunded by the organiser. If participation is cancelled after March 11^th 2011 there will be no refund by the organiser.

I accept the contractual terms.

Please give information concerning the input VAT.

Please mark the checkbox to confirm the contractual terms.

Please complete your registration!