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Click here for a PDF of the brochure REGISTRATION FORM


Company: _____________________________________________________ Address: _______________________________________________________ ______________________________________________________________ Country: _______________________________________________________ Tel: ____________________________ Fax: ____________________________ 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: Mr/Mrs/Dr/Other___________________________________________ First name: _____________________________________________________ Surname: ______________________________________________________ Position: _______________________________________________________ Email:________________________________________________________ Special dietary requirements: ________________________________________ Signature: ________________________ Date: ________________________


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


q Early bird admission fee:


(Until 13th January 2017) q Admission fee thereafter:


q Conference Dinner: €1090 + €207.10* = €1297.10 _________ €1290 + €245.10* = €1535.10 _________ €90 + €17.10* = €107.10


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


€2000 + €380* = €2380 _________ _________


q Non - German resident companies €2000 + €207.10** = €2207.10 _________ (**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


You will be sent an invoice in 7-14 working days.


q Bank transfer quoting:Your Invoice and A/C No. or 'Applied Market Information Ltd. - PVC Formulation 2017’ to: National Westminster Bank Plc. Thornbury Branch, 16 the Plain, Thornbury, Bristol, BS99 5HD Account number:06814077


IBAN:GB63 NWBK 6072 0306 8140 77


Bank No.556138 SWIFT:NWBKGB2L


qPay by Credit Card We accept: Visa / Mastercard / Maestro/ JCB Please provide your contact details and we will send you a link to a secure payment gateway via email.


Name:________________________________________________________ Email:_________________________________________________________


PVC FORMULATION 2017 CONFERENCE INFORMATION


Date and location 27 February – 1 March 2017 Maritim Hotel Maritim-Platz 1 40474 Düsseldorf Germany


Tel: +49 211 5209 0 Fax: +49 211 5209 1000


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


• Early bird registration Register before 13th January 2017 for only €1090*. Thereafter the cost is €1290*.


• 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).


Table top exhibition A limited number of table top exhibition spaces are available in the networking area 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 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) 117 314 8111.


Social events The social events organised for PVC Formulation 2017 will provide an ideal setting for delegates and speakers to mix business with pleasure.


• Networking Cocktail Reception A networking cocktail reception will be held on the first evening. This offers an excellent opportunity for delegates to meet with speakers and other colleagues. All delegates are invited to attend and admission is included in the delegate fee.


• Conference Dinner All delegates are invited to attend the Conference Dinner, which will take place at a local restaurant on the evening of 28 February 2017.The additional cost is €90*.


Hotel accommodation Delegates are responsible for booking their own accommodation. AMI has negotiated a limited number of rooms at the rate of €169 for a single room and €199 for a double (Wi-Fi and breakfast included) at the Maritim Hotel in Düsseldorf for a limited time only. To reserve a room, please contact the reservation department and state that you are attending “AMI’s PVC Formulation 2017” on:


Tel: +49 211 5209 1546 Fax: +49 211 5209 1000 Email: info.dus@maritim.de


Cancellations Full refunds, less a cancellation charge of €200 will only be made on cancellations received prior to 27th January 2017. 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, sponsorship packages or


Conference Dinner places at any time. *+19% German VAT


CONFERENCE HOTLINE


GIULIA ESPOSITO, SENIOR CONFERENCE ORGANISER Applied Market Information Ltd. 6 Pritchard Street, Bristol, BS2 8RH, United Kingdom Tel: +44 (0) 117 314 8111 Fax: +44 (0) 117 311 1534 Email: ge@amiplastics.com Twitter: @AMIconferences #attendAMI


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


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