Registration and Hotel Reservation Form

Please fill in:
  • Date
  • Family Name
  • First Name
  • Organisation/Company
  • Street/Number
  • Postal Area Code
  • City
  • Country
  • Email-Address
   
To: APE 2016 Organisation Committee Date:*  ddmmyear
(Example: 25122015)
 
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:
APE Pre-Conference Day on January 18, 2016 (starting 10:00 - ending 17:30)
APE Full Conference, January 19 - 20, 2016 (starting day 1 09:00 - ending day 2 17:00)
APE Conference Dinner on January 19, 2016 at the Restaurant REFUGIUM 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 2016 Pricing Information:
Regular Conference Registration Fee € 650.00*
Members Conference Registration Fee € 500.00*
Education and Training Course € 200.00*
Members Education and Training Course Fee € 160.00*
Conference Dinner € 95.00*
 
 
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 Hotel: *
No hotel reservation required
NH Hotel Berlin Mitte
€ 125.00 (single room) incl. Breakfast and incl. 19% VAT per Day, plus 5% City Tax
No. of Persons:
No Smoking Smoking
Arrival Date:*  ddmmyear (Example: 17012016)
Departure Date:*  ddmmyear (Example: 21012016)
 
News:
 
I want to receive your NEWS yes no
 
Dear Registrant,
please check below. If complete and correct, please submit.
 
Date
Invited as a Chairman or SpeakerNo
Invited by a SponsorNo
Name of Sponsor
Education and TrainingNo
Full ConferenceNo
Conference DinnerNo
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 AddressNo
Membership
Conference Hotel
Arrival Date
Departure Date
NewsletterNo
 
 
 
APE 2016

Dear Registrant,

you have successfully applied for participation in APE 2016. The following information has been forwarded to the Organisers:

Date
Invited as a Chairman or SpeakerNo
Invited by a SponsorNo
Name of Sponsor
Education and TrainingNo
Full ConferenceNo
Conference DinnerNo
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 AddressNo
Membership
Conference Hotel
Arrival Date
Departure Date
NewsletterNo

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 2016 Organisation Committee
 
Correspondence Address:
APE 2016 c/o digiprimo GmbH, P.O. Box 220116, 14061 Berlin Germany. E-Mail: info@ape2016.eu
Registered District Court Charlottenburg HRA 47829 B. Int. VAT Number DE2466191145 Taxation Number in Germany 30/147/07471
 
Please note, that by German law we have to levy 19% value added tax for all conference activities in Germany.