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Easy Registrati<strong>on</strong><br />

<br />

Registrati<strong>on</strong> Form:<br />

CONCEPT HEIDELBERG<br />

Rischerstraße 8<br />

69123 Heidelberg<br />

<br />

Registrati<strong>on</strong> Form:<br />

(06221) 84 44 34<br />

@ E-Mail:<br />

info@c<strong>on</strong>cept-heidelberg.de<br />

Internet:<br />

www.pharma-k<strong>on</strong>gress.com<br />

www.pharma-k<strong>on</strong>gress.de<br />

Registrati<strong>on</strong> Opti<strong>on</strong>s<br />

Attending C<strong>on</strong>ferences – One Day Tickets for € 690,-<br />

Attending C<strong>on</strong>ferences – Two Days Tickets for € 1.190,-<br />

With a <strong>on</strong>e day ticket you can attend any c<strong>on</strong>ference <strong>off</strong>ered that day. It includes participati<strong>on</strong> in any c<strong>on</strong>ference <strong>on</strong><br />

that day/<strong>on</strong> both days and the visit of the trade show PharmaTechnica. In additi<strong>on</strong>, it comprises lunch and beverages<br />

during the c<strong>on</strong>ferences and in breaks (<strong>on</strong> <strong>on</strong>e or both days) as well as the social event <strong>on</strong> the evening of the first<br />

c<strong>on</strong>gress day. Please mark if you would like to attend the Social Event.<br />

To be able to prepare the c<strong>on</strong>ference rooms, we would appreciate it if you marked the c<strong>on</strong>ference you are interested<br />

in. Please also mark the day you plan <strong>on</strong> attending the C<strong>on</strong>gress. Please mark <strong>on</strong>ly <strong>on</strong>e c<strong>on</strong>ference per day.<br />

I would like to attend <strong>on</strong> day 1 (19 March 2013) and I'm primarily interested in the c<strong>on</strong>ference:<br />

ECA C<strong>on</strong>ference Sterile Fill & Finish<br />

ECA C<strong>on</strong>ference Current Aseptic Technologies<br />

ECA C<strong>on</strong>ference Glass – Glass Breakage – Delaminati<strong>on</strong><br />

ECA C<strong>on</strong>ference Barrier Systems (Isolators/RABS)<br />

I would also like to take part in the Social Event <strong>on</strong> the evening of 19 March 2013.<br />

I would like to attend <strong>on</strong> day 2 (20 March 2013) and I'm primarily interested in the c<strong>on</strong>ference:<br />

ECA C<strong>on</strong>ference Current Aseptic Technologies<br />

ECA C<strong>on</strong>ference Glass – Glass Breakage – Delaminati<strong>on</strong><br />

ECA C<strong>on</strong>ference Barrier Systems (Isolators/RABS)<br />

Visit of the Trade Show PharmaTechnica<br />

(Informati<strong>on</strong> <strong>on</strong> the trade show is also available <strong>on</strong> the c<strong>on</strong>gress website at www.pharma-k<strong>on</strong>gress.com. Please note that the visit of the<br />

PharmaTechnica does not include the participati<strong>on</strong> in the c<strong>on</strong>ferences. For registering please fill in your pers<strong>on</strong>al data below or visit www.<br />

pharma-k<strong>on</strong>gress.com and complete the <strong>on</strong>line registrati<strong>on</strong>. You will receive a c<strong>on</strong>firmati<strong>on</strong>/invoice for your registrati<strong>on</strong> per mail.)<br />

Please mark the day <strong>on</strong> which you plan <strong>on</strong> visiting the exhibiti<strong>on</strong>:<br />

Day 1 (19 March 2013) Day 2 (20 March 2013)<br />

If the bill-to-address deviates from the specificati<strong>on</strong>s<br />

<strong>on</strong> the right, please fill out here:<br />

Reservati<strong>on</strong> Form (Please complete in full)<br />

Mr Ms Dr<br />

First name, Surname<br />

Company<br />

Department<br />

Important: Please indicate your company’s VAT ID Number<br />

P.O. Number (if applicable)<br />

Street/P.O. Box<br />

CONCEPT HEIDELBERG<br />

P.O. Box 101764<br />

Fax +49 (0) 62 21/84 44 34<br />

D-69007 Heidelberg<br />

GERMANY<br />

City<br />

Country<br />

Ph<strong>on</strong>e/Fax<br />

Zip Code<br />

E-Mail (please fill in)<br />

General terms and c<strong>on</strong>diti<strong>on</strong>s<br />

If you cannot attend the c<strong>on</strong>ference you have two opti<strong>on</strong>s:<br />

1. We are happy to welcome a substitute colleague at any time.<br />

2. If you have to cancel entirely we must charge the following processing fees: Cancellati<strong>on</strong><br />

• until 2 weeks prior to the c<strong>on</strong>ference 10 %,<br />

• until 1 weeks prior to the c<strong>on</strong>ference 50 %<br />

• within 1 week prior to the c<strong>on</strong>ference 100 %.<br />

CONCEPT HEIDELBERG reserves the right to change the materials, instructors, or speakers without<br />

notice or to cancel an event. If the event must be cancelled, registrants will be notified as so<strong>on</strong> as<br />

possible and will receive a full refund of fees paid. CONCEPT HEIDELBERG will not be resp<strong>on</strong>sible for<br />

discount airfare penalties or other costs incurred due to a cancellati<strong>on</strong>.<br />

Terms of payment: Payable without deducti<strong>on</strong>s within 10 days after receipt of invoice.<br />

Important: This is a binding registrati<strong>on</strong> and above fees are due in case of cancellati<strong>on</strong> or n<strong>on</strong>appearance.<br />

If you cannot take part, you have to inform us in writing. The cancellati<strong>on</strong> fee will then<br />

be calculated according to the point of time at which we receive your message. In case you do not<br />

appear at the event without having informed us, you will have to pay the full registrati<strong>on</strong> fee, even if<br />

you have not made the payment yet. Only after we have received your payment, you are entitled to<br />

participate in the c<strong>on</strong>ference (receipt of payment will not be c<strong>on</strong>firmed)!

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