Seminar Application



Participants
Participant A
Surname, First name:   
Participant B
Surname, First name:   
Participant C
Surname, First name:   
Participant D
Surname, First name:   


Firm
Customer ID:
Tax no:
Company:
Adress:
Zip Code / Town:
Country:
e-mail for confirmation:


Hotel
Seminar price includes hotel accommodation May 20th/21st 2012. If you wish to arrive earlier or depart later, you might change the dates.

Please note: Additional nights must be paid directly to the hotel.
Single room per night: € 63,-
Double room per night: € 94,-


Arrival - Departure Single bedroom/quantity Double bedroom/quantity


Arrival
For our customers, who combine their seminar participation with a journey to "Orthopädie + Rehatechnik 2012" in Leipzig, we offer a bus shuttle from Leipzig to Remscheid on Saturday, May 19th 2012. The trip takes about six hours.
Therefore we recommend to organize your departure on May 21st from Cologne or Dusseldorf and not Leipzig. Both airports are located within half an hour by car. A shuttle service to the airports is also guaranteed.
Frankfurt airport is approximately two hours off. If you wish to depart from this airport we organize your departure by train and taxi for you.
 
By bus from Leipzig
Participant A:
Participant B:
Participant C:
Participant D:


By car
Participant A:
Participant B:
Participant C:
Participant D:


By plane
Participant A Date:
 Time:
 Airport:
 Flight No.:
Participant B Date:
 Time:
 Airport:
 Flight No.:
Participant C Date:
 Time:
 Airport:
 Flight No.:
Participant D Date:
 Time:
 Airport:
 Flight No.:


Departure
By plane
Participant A Date:
 Time:
 Airport:
 Flight No.:
Participant B Date:
 Time:
 Airport:
 Flight No.:
Participant C Date:
 Time:
 Airport:
 Flight No.:
Participant D Date:
 Time:
 Airport:
 Flight No.:


Information
Seminar price: € 250,00 + 19% VAT* per person
Price including: •  lunch
•  evening program, May 20th, 2012
•  hotel accommodation, May 20th/21st, 2012 incl breakfast
•  seminar documentation
•  certificate of participation
•  shuttle bus, Leipzig - Remscheid, May 19th
•  airport shuttle service
Deadline for registration: March 15th, 2012
Payment on receipt of invoice, which will be sent in combination with the confirmation of course registration middle of January.
* As this venue is running in Germany 19% VAT has to be paid in addition to seminar price.
Participants agree that the host takes visual recordings during the seminar for internal and external usage.
This agreement does not effect chronological or areal limits.
Cancellation fee
Before March 15th, 2012
Before April 1st, 2012
After April 1st, 2012 		->
->
-> 		cancellation free of charge
50% of the seminar price will be charged
full seminar price will be charged


I agree with the terms and conditions above.


additional
comment: