the registration form
Transcription
the registration form
Registration USETEC 2015 in Karlsruhe, Germany|13th to 15th April 2015 Registration deadline: April 1st 2015 Registration via Fax to: 040 609 455 439 or via mail to: info@ema-germany.org I hereby bindingly register for the USETEC fair from 13th to 15th April 2015: Title: ________Name: __________________________First name: _____________________________ Company: ____________________________________Sector:_________________________________ Position: ___________________________________________________________________________ Street:_____________________________________________________________________________ Postal Code: __________________City:__________________________________________________ Telephone: ___________________Fax:__________________Mobile:___________________________ E-Mail: ______________________Company website:________________________________________ EMA – Member: O Yes O No O I want to become a member and pay the member fees (http://ema-hamburg.org/pages/en/association/membership.php) Total costs: O EMA company members 2.650,- € (plus 19%VAT) O Non-members 2.900,- € (plus 19% VAT) Services: 4 nights in 4-5* hotels (including catering), transportation, local support, interpreter, fair entrance, programme, visa-affaires Payment: Via bank transfer/invoice Bank details: Commerzbank A.G. | Account holder : EMA e.V. IBAN: DE58200400000171 0755 00 | BIC: COBADEFFXXX o I need assistance in applying for a VISA. I hereby send you a copy of my passport. Note: I hereby agree that my data will be saved for sending me further information concerning EMA e.V. The personal data will be handled confidentially and not passed on to third parties. The invoice will be sent to you after your registration. The flights have to be booked individually. EMA offers support in finding connections and in getting travel cancellation insurances and travel health insurances. We highly recommend having the mentioned insurances. Please consider the limited number of participants as well as that the travel will only take place if more than 15 participants have registered. The conference can be cancelled or postponed by the organizer in the event of acts of god or other reasons of organization. In this case, paid fees will be reimbursed immediately. Further compensation claims are impossible. Cancellation free of charge from the event is possible up to 1 work day before the event. A substitute person can participate in the event. Place/Date: Signature/Company stamp: ________ _____ 1 Fields of Interest USETEC 2015 in Karlsruhe, Germany|13th to 15th April 2015 Registration deadline: April 1st 2015 Registration via Fax to: 040 609 455 439 or via mail to: info@ema-germany.org I am particularly interested in: o Metalworking machinery o Robotics and automation o Measurement and testing equipment o Power plant equipment, process heating/cooling o Lifting appliances and conveyors o Agricultural machines o Commercial and municipal vehicles o Equipment for waste disposal and recycling o IT and telecommunication equipment o Printing machinery, copying systems o Woodworking machinery o Plastics processing machinery o Packaging machinery o Food processing machines o Chemical engineering o Textile machines o Other machinery and equipment o Tools, moulds o Spare parts, accessories o Services o Trade magazines, publishing houses o Associations, organizations Your wishes for B2B-Meetings: Sector: _____________________________________________________________________ Company: ___________________________________________________________________ Note: I hereby agree that my data will be saved for sending me further information concerning EMA e.V. The personal data will be handled confidentially and not passed on to third parties. The invoice will be sent to you after your registration. The flights have to be booked individually. EMA offers support in finding connections and in getting travel cancellation insurances and travel health insurances. We highly recommend having the mentioned insurances. Please consider the limited number of participants as well as that the travel will only take place if more than 15 participants have registered. The conference can be cancelled or postponed by the organizer in the event of acts of god or other reasons of organization. In this case, paid fees will be reimbursed immediately. Further compensation claims are impossible. Cancellation free of charge from the event is possible up to 1 work day before the event. A substitute person can participate in the event. Place/Date: Signature/Company stamp: ________ _____ 2