On-line Registration Form

Contact Information


Title
Ms Mr Dr

First name

Last name

Job title

Company name

Address

Postal code

City

Country

Phone

Mobile phone

Fax

E-mail

Accompanying Person (Spouse)


Title

First name

Last name




Company Information


You are a (tick all that apply)
Adhesive Producer
Sealant Producer
Raw Material Supplier for the Adhesive Industry
Raw Material Supplier for the Sealant Industry
Equipment/Processes/Accessories
Services
Research Institute
Association
Downstream User

Please indicate your company size
A Multi-national company: Headcount >250 and turnover >€ 50 million
SME:  (Medium size: Headcount <250 and Turnover <€ 2 million
Other (e.g. Association, Consultant, Press…)

Please indicate your job title category
Business Development
General Management
Marketing and Communication
Operations and Technical
Purchasing & Procurement
R&D
Regulatory
Other




Registration Fees


Late Registration Fees
(payment from June 15, 2011)

Delegate (Member of FEICA) – 819 €

Delegate (Non-Member) – 1.150 €

Accompanying person – 449 €

Other

Speaker

Other


FEICA a.i.s.b.l. is registered in Spain under VAT nr. NIF N0172081B. If your company is not registered for VAT purposes in Spain, 18% Spanish VAT will be charged on our invoices.



Hotel Accommodation

The organizers have made room reservations at the Las Arenas Balneario Resort at a special conference rate. Please reserve the room no later than July 1st 2011 as the number of rooms available for the Conference is limited. The Las Arenas Balneario Resort is the appointed conference venue.

PLEASE NOTE:
The hotel is nearly fully booked. There is no guarantee, that the hotel rooms can be confirmed. The information whether the room can be confirmed or not, will be given within 48 hours after your request.


Room rates per room and day, including breakfast and tax.
 

Las Arenas Balneario
Single room – Standard – Sea View – € 212,00
Single room – Executive – 4th Floor – Sea View – € 237,00
Double room – Standard – Sea View –  € 227,00
Double room – Executive – 4th Floor – Sea View – € 263,00

Arrival Day:

Departure Day:

Special requests:

Name of person when sharing a double room:


Accommodation can be booked by credit card in order to guarantee the room. The payment of the hotel room will have to be done in the hotel at departure. To secure your accommodation, please fill out the pdfform (.pdf) and fax it to: +49 2102 964829.

Cancellation:
All cancellations must be sent in writing and addressed to FEICA 2011 Registration Office: registration@feica-conferences.com. Cancellations received before July 1st 2011 are free of charge. After this date the hotel room has to be paid in full.
 




Delegates Programme

Please mark all events you plan to attend. This is important to enable the hotel to determine requirements, layout of conference rooms and numbers of meals.

Wednesday, 14 September 2011

Welcome Cocktail (18:00-20:00)

Thursday, 15 September 2011

Conference Opening – Plenary Session (08:30-12:00)

Lunch (12:00-14:00)

Track One – Market & Technology Innovation (14:00-18:00)

Track Two - Legislation Track (14:00-18:00)

Track Three – Spanish Market Outlook (14:00-ca.17:00)

Gala Dinner (19:30)

Friday, 16 September 2011 - Business Forum: Driving Sustainable, Profitable Growth

Business Forum (09:00-13:00)

Coffee Break (10:30-11:00)

Lunch (13:00-14:00)


Accompanying Persons Programme

Please mark all events you plan to attend.

Wednesday, 14 September 2011

Welcome Cocktail (18:00-20:00)

Thursday, 15 September 2011

Valencia City Tour (09:00-16:30)

Gala Dinner (19:30)

Friday, 16 September 2011

City of Arts and Sciences (09:30-12:00)

Lunch (13:00-14:00)


Optional Social Programme


Boat Ride in the sundown on Lake Albufera (National Park). Paella Dinner in El Palmar
Friday, 16 September 2011, 19:00-23:00
€ 160,00 per person

Number of tickets:




Terms of Payment

Payments - without any charges to the beneficiary - can be made:

by Bank Transfer

Bank transfer must be sent (free of bank charges) to:
Account Name:   FEICA a.i.s.b.l.
Account Address:   Avenue E. van Nieuwenhuyse 6, 1160 Brussels, Belgium
VAT nr. Belgium:   BE 0884 334 548
VAT nr. Spain:   NIF N0172081B
Bank:   ING Belgium SA
Bank Address:   Bd. Du Souverain 230, B-1160 Brussels, Belgium
Account Name:   FEICA a.i.s.b.l.
Account Number:   363-0696652-38
IBAN:   BE24 3630 6966 5238
SWIFT/BIC Code:   BBRUBEBB
With notification:   FEICA Conference 2011

by Credit Card (Mastercard, Visa)

For security reasons we can not accept credit card payment and information through the Internet. Please fill out the pdfform (.pdf) and fax it to fax number: +49 2102 964829.
 



Invoicing


Please provide the following information for the correct invoicing:

Spanish VAT N°

Non-Spanish VAT n°

No VAT registration

Invoice to be addressed to
same as above (Contact Information)
other billing address:

Company name

Legal format (ex. : SA, GmbH)

Company address (street, number)

Post code

City

Area

Country



CANCELLATIONS

Cancellations are accepted until July 1st 2011 with a refund of 50%. No refunds will be given for cancellations after this date. Please note that all refunds will be made after the conference. Notice of cancellation should be sent in writing only to FEICA 2011 Registration Office: registration@feica-conferences.com



I agree my name, company, position in the company and country to be mentioned in the published conference registration lists.


 


FEICA 2011 Registration Office

TCA (Travel & Congress Activities)
Gabriele Hanke

Marienburger Str. 8
40883 Ratingen
Germany

T: +49 2102 66936
F: +49 2102 964829
E: registration@feica-conferences.com