12th International Colloquium Fuels25 to 26 June 2019in Stuttgart / OstfildernOnline Registration Participant First nameBenötigt Family nameBenötigt Title Company/InstituteBenötigt DepartmentBenötigt Street / P. O. BoxBenötigt Zip-CodeBenötigt CityBenötigt CountryBenötigt PhoneBenötigt E-Mailbenötigt Conference Fees (free of V. A.T.): I amBenötigt Participant EUR 890.00 Speaker (free of charge) Fee includes: Colloquium proceedings, snacks and beverages during breaks, transportation between some of the hotels and the Academy in the morning and in the evening, buffet on Tuesday and Thursday evening Cancellation: Free of charge cancellation (in writing) is possible until 18 June 2019. After this deadline the full registration fee falls due. It is possible to send an alternate delegate. Payment: I wish to pay by Bank Transfer (for banking details please see your invoice) I wish to pay by Credit Card (no Diners Club) Type of Credit Card American Express VISA Eurocard / Mastercard selected Diners Club Card No.: Name of Card Holder: Exp. Date: Card Verification Code: I wish to pay cash at the beginning of the conference Differing Invoice Address First name Familiy name Company/Institute Department Street / P.O. Box Zip-Code City Country Phone E-Mail Hotel Reservation: Number of single rooms: Price range: up to EUR 80 up to EUR 110 selected Number of double rooms: Price range: up to EUR 90 up to EUR 120 up to EUR 150 Arrival on: Departure on: Arrival by: Train Car Plane selected Remarks: How did you find out about the colloquium? Please let us know how you became aware of this conference. This will help us optimize our marketing activities. - please select - google search website for postgraduate professional education postal advertising email advertising social media (Facebook, LinkedIn, ...) calendar of events in a magazine newspaper/magazine advertisement digital advertisement fair/exhibition HR department of my company personal recommendation of a former participant others
