Registration form

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Registration for the Conference 11-14 October 2010

Please fill in the following information for correspondence. (*compulsory fields)
The same information will be used for all documentation.

Title Prof.
Dr.
Mr.
Mrs.
Last Name*:
First Name*:
Organisation:
Address*:
Postal Code*:
City*:
Country*:
Phone*:
Fax:
E-mail*:
Name as required on badge*:
 
I want to participate and
register for the following
parts of the
Conference program:
Monday - € 75,- (incl. lunch, dinner and shuttle services)
Tuesday - € 75,- (incl. lunch, dinner and shuttle services)
Wednesday morning - € 30,- (incl. shuttle services)
Wednesday afternoon / evening (fieldtrip) € 45,- (incl lunch, dinner, touring car)
Thursday (fieldtrip + Hortifair) € 75,- (incl. lunch, touring car)
  
I want to order an extra conference book and will pay € 25,- extra for this book.