Click here for a PDF of the brochure PLEASE PRINT OUT FORM AND COMPLETE IN BLOCK CAPITALS REGISTRATION FORM


Company: _____________________________________________________ Address: _______________________________________________________ ______________________________________________________________ Country: _______________________________________________________ Tel: ____________________________ Fax: ____________________________ Email: ________________________________________________________


VAT No.: __________________________________________________ (Must be completed by all EU Companies) Company activity: _______________________________________________ Purchase order No. (if applicable): _______________________________________ Invoice address (if different from above): ____________________________ ________________________________________________________ ________________________________________________________


DELEGATE DETAILS If more than one delegate please photocopy form


Title: _______________ First name: _________________________________ Surname: ______________________________________________________ Position: _______________________________________________________ Special dietry requirments: _________________________________________ Signature: ________________________ Date: ________________________


PAYMENT DETAILS All payments to be made in Euros Please tick box and write amount:


q Early bird admission fee: (Until 21st March 2014)


q Admission fee thereafter: q Conference Dinner:


€890 + €169.10* = €1059.10 _________


€990 + €188.10* = €1178.10 _________ €75 + €14.25* = €89.25


Table Top Exhibition Package (includes 1 delegate place) q German resident companies


€1500 + €285* = €1785 _________


q Non - German resident companies €1500 + €169.10** = €1669.10 _________ (**Only admission fee part of package is VAT chargeable at 19%)


* German VAT charged at 19% Total: _________ Please note all delegates have to pay the VAT stated above


METHOD OF PAYMENT On receipt of this registration form your credit card will be debited. You will be sent an invoice in 7-14 working days.


q Bank transfer quoting: ‘Applied Market Information Ltd. - Plastic Closure Innovations 2014’ to: Commerzbank, Filiale Düsseldorf, Breite Straße 25, 40213 Düsseldorf, Germany Account number: 1024710


Bank No. 300 400 00 IBAN: DE93 3004 0000 0102 4710 00 SWIFT: COBADEFFXXX


q Visa / Mastercard / Eurocard / JCB -


- - If paying by card the following information must be given


Name of cardholder: _____________________________________________ Expiry date: ________________________ 3-digit security code: __________ Cardholder’s signature: ___________________________________________ Card billing address: _____________________________________________ Post / zip code: __________________________________________________


Country: _______________________________________________________


PLASTIC CLOSURE INNOVATIONS 2014 CONFERENCE INFORMATION


Date and location 28-30 April 2014 Hotel Concorde Augsburger 41 10789 Berlin Germany Tel: +49 30 800 999 0 Fax: +49 30 800 999 99


Registration fee The registration fee includes attendance at all conference sessions, the Welcome Cocktail Reception, lunch and refreshment breaks on both days and a set of conference proceedings.


• Early bird registration: Register before 21st March 2014 for only €890*. Thereafter the cost is €990*.


• Group rates: For companies wishing to register two or more delegates, group discounts are available. Please contact the Conference Organiser for more details. Please note to qualify for the group discount delegates must be booked at the same time, otherwise additional delegates may be charged at full price.


Plastic Closure Innovations 2014 table top exhibition A limited number of table top exhibition spaces are available in the registration area and coffee lounge directly outside the conference room. The table top exhibition fee is excellent value for money and includes 1 delegate place. Exhibitors may either use tables provided by the hotel or bring their own stand or display.


Sponsor this event and promote your company A variety of sponsorship opportunities are available at this event that can help to promote and enhance your company’s products and services to this highly targeted international audience. For further information, please contact the Conference Organiser on: +44 (0) 117 924 9442.


Social events The social events organised for Plastic Closure Innovations 2014 will provide an ideal setting for delegates and speakers to mix business with pleasure.


_________


• Welcome Cocktail Reception: A welcoming cocktail reception will be held on the first evening. All delegates are invited to attend and it will offer an excellent opportunity to meet speakers and other colleagues. The Welcome Cocktail Reception will run approximately from 18:00 to 19:30 and is included in the delegate fee.


• Conference Dinner: All delegates are warmly invited to attend the Conference Dinner, which will take place at a local restaurant on the evening of 29th April 2014. The additional cost is €75*.


Hotel accommodation Delegates are responsible for booking their own accommodation. AMI have negotiated a room rate of €145 for a single and €165 for a double room (breakfast and taxes included) for attendees who make their reservations by 31st March 2014.


The hotel only accepts reservation on the official booking form which can be downloaded from our website: www.amiconferences.com (Click on Plastic Closure Innovations 2014 followed by Accommodation). Fill in the form and fax/email to the reservation department.


Fax: +49 30 800 999 36 Email: reservierung@concorde-hotels.com


Cancellations Full refunds, less a cancellation charge of €200 will only be made on cancellations received prior to 28th March 2014. Thereafter we regret that no refunds can be made. Delegates may be substituted at any time. Please note that refunds will not be given on table top bookings or dinner places.


*+19% German VAT CONFERENCE HOTLINE


ROCIO MARTINEZ, CONFERENCE ORGANISER Applied Market Information Ltd. 6 Pritchard Street, Bristol, BS2 8RH, United Kingdom Tel: +44 (0) 117 924 9442 Fax: +44 (0) 117 311 1534 Email: rmm@amiplastics.com


Tel: ____________________________ Fax: ____________________________ Email: ________________________________________________________ Fax back to: +44 (0) 117 311 1534 or Email: rmm@amiplastics.com


The latest programme, including any new speakers or changes to the schedule can be viewed on our website: www.amiconferences.com


Fax back to: +44 (0) 117 311 1534 or Email: rmm@amiplastics.com


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