I would like to register* as follows:

SPECIAL RATES FOR MEMBERS/NON-MEMBERS

Only valid when a EUConsult member registers himself/herself and a non-member at the same time

0123456789 x Special member rate (EUR 270,00)

0123456789 x Special non-member rate for additional participant/s (EUR 320,00)

SPECIAL RATE FOR EUCONSULT ITALIA MEMBERS

0123456789 x Special EUConsult Italia member rate (EUR 224,00) 

STANDARD RATES

0123456789 x Member rate (EUR 320,00) - rate valid for first member participant

0123456789 x Member rate for additional participant/s (EUR 270,00) - rate for colleagues registering in addition to the first person from the same company

0123456789 x Non member rate (EUR 370,00)

0123456789 x Partner rate (EUR 80,00) – drinks reception and dinner only

Please provide the following number of participants with vegetarian meals:

x Vegetarian (including fish)

x Vegetarian (not including fish)

Hotel accommodation (not included in workshop fee) – see workshop information for details on hotels

I have the following request/special requirement:

Name of Participant:

Email of Participant:

Mobile phone number of Participant:

Name of Partner (not attending workshop):

Company:

Address (only required for non-members, include zip and city):

Country:

* Name:

* Email:

* Date:

[ A copy of this form will be sent to you by e-mail. ]

* The Workshop fee rates do not include hotel accommodation, but are all-inclusive for the opening session, drinks reception and dinner on Thursday, 23 March and the workshop sessions (including lunch and refreshments) on Friday, 24 March. The Partner rate includes the drinks reception and dinner on Thursday, 23 March. 

You will be billed and sent joining instructions once we receive your registration - please register early!

Conference registration deadline: 13 March 2017