APE 2013: Registration


To: APE 2013 Organisation Committee	Date:* ddmmyear (Example: 28012013)

If you have been invited as a Chairman or Speaker, please click here
If you have been invited by a Sponsor, please click here
Name of Sponsor:

I would like to register for:
Pre-Conference Day on January 28, 2013 (starting 10:00 - ending 17:30)
Full Conference, January 29 - 30, 2013 (starting day 1 09:00 - ending day 2 17:00)
Conference Dinner on January 29, 2013 at the Restaurant Gendarmerie	No. of Persons:


Prefix:
Title:
First Name:*
Family Name:*
Organisation/Company:*
Street/Number:*
P.O. Box:
Postal Area Code:*
City:*
Country:*
Tel. Number:
FAX Number:
Email-Address:*
Int. VAT Number:

Separate Billing Address
Organisation/Company:
Street/Number:
Postal Area Code:
City:
Country:
Int. VAT Number:

Please select your Membership:

APE 2013 Pricing Information:
Regular Conference Registration Fee € 600.00*
Members Conference Registration Fee € 450.00*
Education and Training Course for "Information Competence " € 195.00*
Members Education and Training Course Fee € 160.00*
Conference Dinner € 85.00*


Special Academic Rates and Group Rates for Sponsors are available
* these fields need to be completed
* plus 19% VAT

Terms and Conditions: Registrations are firm, but can be cancelled until 15 days before the Conference. If cancelled later, only 50% will be credited. All fees are payable in advance incl. bank charges.

Recommended Conference Hotels: *

No hotel reservation required
NH Hotel Berlin Mitte € 120.00 (single room) incl. Breakfast and incl. 19% VAT per Day

No. of Persons:
No Smoking Smoking
Arrival Date:*	ddmmyear (Example: 28012013)
Departure Date:*	ddmmyear (Example: 30012013)

Newsletter:

I want to receive your newsletter	yes no

Correspondence Address:
APE 2013 c/o digiprimo GmbH & Co.KG, P.O. Box 10 33 05, 69023 Heidelberg, Germany
Registered Mannheim HRA 700186, Int. VAT Number DE 246619145. Taxation Number in Germany: 32020/36154

Dear Registrant,
please check below. If complete and correct, please submit.

Date
Invited as a Chairman or Speaker	No
Invited by a Sponsor	No
Name of Sponsor
Education and Training	No
Full Conference	No
Conference Dinner	No
Prefix
Title
First Name
Family Name
Organisation/Company
Street/Number
P.O. Box
Postal Area Code
City
Country
Tel. Number
FAX Number
Email-Address
Int. VAT Number
Separate Billing Address	No
Membership
Conference Hotel
Arrival Date
Departure Date
Newsletter	No

APE 2013 Dear Registrant, you have successfully applied for participation in APE 2013. The following information has been forwarded to the Organisers:
Date
Invited as a Chairman or Speaker	No
Invited by a Sponsor	No
Name of Sponsor
Education and Training	No
Full Conference	No
Conference Dinner	No
Prefix
Title
First Name
Family Name
Organisation/Company
Street/Number
P.O. Box
Postal Area Code
City
Country
Tel. Number
FAX Number
Email-Address
Int. VAT Number
Separate Billing Address	No
Membership
Conference Hotel
Arrival Date
Departure Date
Newsletter	No
You will soon receive an invoice to the address indicated. Your application will become a firm registration upon receipt of payment. It can be cancelled at any time, but no later than until 15 days prior to the Conference. If cancelled later, only 50% will be credited. The Organisers reserve the right to cancel application if payment has not been received in advance of the conference. Should you have special food requirements or when you need special support, please let us know in advance. Please note that hotel reservation requests are forwarded to the selected conference hotel and that the hotel will contact you directly. You will be asked to provide credit card details and to confirm your reservation. For any changes please contact the hotel directly. The Organisers are not responsable for the reservations. Looking forward to seeing you in Berlin Arnoud de Kemp APE 2013 Organisation Committee

APE 2013