- Branded Spaces International Conference and Open Space on Contemporary Branding Thursday 15th and Friday 16th of September, 2011
Registration Form You can register via email or fax using this registration form. Please send the completed form to: Karlshochschule International University Karlstraße 36-38 76133 Karlsruhe Germany Tel.: +49 (0)721 1303 500 Fax: +49 (0)721 1303 300 registration@branded-spaces.de www.branded-spaces.de
1. Data of Participant
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Title
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Name, Surname
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Company / Institution
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Position
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Address
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Postal Code, City
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Country
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Phone
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Fax
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2. Conference Fees
Regular
Early Bird*
340,- €
240,- €
90,- €
90,- €
220,- €
160,- €
70,- €
70,- €
Full Conference Corporate rate **
Students and postgraduates Conference Day Corporate rate
**
Students and postgraduates
th
Evening Dinner on Thursday 15
September
TOTAL AMOUNT:
30,- € …………….. ,- €
* Early Bird registration possible until 30th June, 2011. ** Including Pre-Conference Day on Wednesday 14th September, 2011.
3. Payment Details Please transfer the total amount to the following German bank account: Karlshochschule International University Bank: Sparkasse Karlsruhe Account No.: 108 079 617 Bank code: 660 501 01 IBAN: DE91 6605 0101 0108 0796 17 BIC: KARSDE66 Reference: Branded Spaces 2011 After the receipt of the payment, a final confirmation will be sent and your registration will be valid.
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4. Additional Information Confirmation: Valid registrations will be confirmed by email after receipt of your registration form. The final and valid confirmation will be sent after the receipt of the payment. Cancellation: We reserve the right to cancel the conference if the minimum number of participants is not reached. Paid sums will be reimbursed in total. Modifcation of registry: All bookings are registered under the name and surname. In case of registry modifications, please refer to the registration name. Refund policy: No refund possible after payment. By submitting this registration form, you are agreeing that you have read and accept the additional information
Date, Signature
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