Application form_en

APPLICATION FORM
FORM
Please send back until 31.03.2015 to: sabine.siemes@gsb-international.de or
via FAX: +49(0)211/ 4796-410
I official confirm my participation in the General Meeting and the social events (1 event per afternoon). Due to
the limited number of participants, the registrations are considered according to the order of entry. If there are
not enough interested for an event, we have to cancel it and will offer you an alternative.
07. May – 14:00 pm
I / We will attend to:
Afternoon
14:00 – 16:00 pm
Guided city work „multifarious Wiesbaden“
person/s
14:00 – 16:00 pm
Guided city tour by bus „Wiesbaden classic“
person/s
14:00 – 16:30 pm
Herbal walk
person/s
14.00 – 17:00 pm
Guided tour by bus to the Eberbach abbey
person/s
Champagne reception, dinner and lecture
person/s
Evening
19:00 – 23:00 pm
08. May – 08:00 am
9:00 – 12:00 am
Lectures
person/s
12:00 – 13:00 pm
Lunch
person/s
13:30 – 16:00 pm
20. Regular General Meeting
person/s
NOT PUBLIC
Overnight stay (payment onsite and before departure)
th
th
I would like make a reservation from the 07 to the 08 May, 2015 at the Dorint Pallas in Wiesbaden and in this regard a:
Single Room at a price of € 157, 50 / per Day – Breakfast included
Double Room at a price of € 181, 50 / per Day – Breakfast included
I wish a smoking room:
yes
no
Cancellation regulation: Until 4 weeks before the start of the event 90%
Company
Mrs. / Mr.
Mrs. / Mrs
Street / No.
Postcode / Place
..............................................................
Place /Date
.............................................................................................
Signature
I am agreed with the fact that the photos shootings that are taken of me on the occasion of my participation in the event may
be used for publishing, f.e. press statements, GSB news etc.