FAX YOUR COMPLETED REGISTRATION FORM TO: +41 61 225 51 52 FOR ONE ATTENDEE ONLY - The DIA Europe Customer Services Team will be pleased to assist you with your registration. Please call us on +41 61 225 51 51 from Monday to Friday between 08:00 and 17:00 CET, or email
[email protected] REGISTRATION FORM - ID# 09101 21ST ANNUAL EUROMEETING - MARCH 23-25, 2009 - INTERNATIONALES CONGRESS CENTRUM, BERLIN, GERMANY Join DIA now to qualify for the early-bird member rate! Please mark the box indicated below if you wish to take this option. + MEMBERSHIP To qualify for the early-bird discount, registration form and accompanying payment must be received by the date below. € 130.00 The early-bird rate does not apply to government, student or academia/nonprofit attendees. EARLY-BIRD DEADLINE MEMBER NON-MEMBER NON-MEMBER On or before (with optional membership) (without optional membership) JANUARY 23, 2009 FEE VAT 19% TOTAL FEE VAT 19% MEMBERSHIP TOTAL FEE VAT 19% TOTAL Early-bird Industry € 1’545.00 € 293.55 € 1’838.55 EARLY-BIRD NOT AVAILABLE EARLY-BIRD NOT AVAILABLE Industry € 1’695.00 € 322.05 € 2’017.05 € 1’695.00 € 322.05 € 130.00 € 2’147.05 € 1’825.00 € 346.75 € 2’171.75 Charitable/Non-profit/ Academia (Full-Time) € 1’271.25 € 241.54 € 1’512.79 € 1’271.25 € 241.54 € 130.00 € 1’642.79 € 1’401.25 € 266.24 € 1’667.49 Government (Full-Time) € 847.50 € 161.03 € 1’008.53 € 847.50 € 161.03 € 130.00 € 1’138.53 € 977.50 € 185.73 € 1’163.23 Student (Full-Time) € 100.00 € 19.00 € 119.00 € 100.00 € 19.00 € 34.50 € 153.50 € 134.50 € 25.56 € 160.06 Tutorials € 350.00 € 66.50 € 416.50 Monday, March 23, 2009 Please indicate the tutorial number you wish to attend (see page 7 for full description of the tutorials) : _______________________________________________________________________ TOTAL AMOUNT DUE: € ____________________ NOTE: Payment due 30 days after registration and must be paid in full by commencement of the event.