SUMMIT2010 Conference

ECOM BERLIN Konferenz

Registration Form
1. Registration Information
Non-Member Registration: Conference, 7^th/8^th October 2010, € 900 (you receive a 20% discount if you register before 30th June 2010!)
Member Registration: Conference. 7^th/8^th October 2010, € 700 (you receive a 20% discount if you register before 30th June 2010!)
Conference Dinner: 7^th October 2010, € 70			Members Dinner: 6^th October 2010, for Members only
2. Delegate Details			3. Office Address
Title:			Company^*:
Firstname^*:			Street/Streetno^*:
Surname^*:			Postal / Zip Code^*:
Position:			City^*:
Phone^*:			Country^*:
Fax:			Email^*:
^* necessary information
4. Payment / Invoice Details
Please debit my Credit Card with the amount			Please send me an invoice for bank transfer to the above mentioned adress If the invoice address is different to the one above, please fill in here:
Credit Card (MC/AX/VI):			Company:
Card Number:			Address:
Expiry Date:			Postcode:
CSV (last 3 digits on back of card):			City
			Country:
5. Hotel Information
Yes, please send more information			No, I do not need accomodation
6. I hereby agree that my Name and Company will be shown on the participants list which will be issued to all participants on site at the conference.
Yes, I hereby agree			No, I do not agree
7. I hereby release any Pictures, in which I may appear, made at the conference SUMMIT2010 to be placed at the GLOBALGAP Website after the SUMMIT2010.
Yes, I hereby agree			No, I do not agree

Please return this form to:
H.U.T. GmbH - Hotelreservierungs- und Tagungsmanagement
Horst L. Bauer, Maarweg 133, 50825 Cologne, Germany

++++++++++++++++++++ horst.bauer@hut-gmbh.net +++++++++++++++++++

+++++++++++++++++++++ Fax: +49-221-94714-590 +++++++++++++++++++++

Registration Form