Plastics in Medical Devices Europe

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How to register Tuesday 27th – Wednesday 28th Novmber 2012. Le Méridien Hotel, Brussels, Belgium

Register online at eu.plasticsinmedicaldevices.com

Please check the website for conference programme updates Tel: +44 (0) 20 8253 9621 Fax: +44 (0) 20 8253 9652 Email: EPNconferences@crain.com Online: eu.plasticsinmedicaldevices.com Post: Crain Communications Limited, 4th Floor, Carolyn House, 22-26 Dingwall Road Croydon, Surrey CR0 9XF, UK

Venue Le Méridien Brussels, Carrefour de l’Europe 3, Brussels 1000, Belgium

Accommodation

Delegate details

Please photocopy this form to register further delegates.

The fastest and easiest way to secure your place is online at eu.plasticsinmedicaldevices.com. Alternatively return this form by email. Please use BLOCK CAPITALS and complete in full Title (Dr/Mr/Mrs/Miss/Ms) ................................... First name .................................................................................................................. Surname .................................................................................................................................................................................................................................. Company name ................................................................................. Job Title ............................................................................................... Department ........................................................................................................................................................................................................................ Address . ................................................................................................................................................................................................................................... ............................................................................................................................................................................................................................................................

Country ........................................................................................................ Postcode ........................................................................................... Email ............................................................................................................................................................................................................................................ Tel . .................................................................................................................................................................................................................................................. Fax ................................................................................................................................................................................................................................................. Booking contact (Sec/PA)......................................................... Tel. no .................................................................................................... I have read the cancellation policy and agree with the terms and conditions. Signature ..................................................................................................... Date ........................................................................................................

Payment Please note that payment must be received one week before the conference *Please note that a €10 admin fee will be charged for manual bookings. Early Bird rate for all bookings received on or before Friday 2nd November 2012 of €949 + applicable VAT* per delegate. Normal rate for all bookings received after Friday 2nd November 2012 of €1,149 + applicable VAT* per delegate. * VAT will be charged at 21% Belgian VAT I enclose a Cheque with my registration form made payable to Crain Communications Inc. for €............................................................................................... Please debit my card - Visa ❑ Mastercard ❑ Maestro ❑ for €................................................................. Card No Expiry date

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Issue No. (if applicable)

Valid from (if applicable)

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Security code

Signature ......................................................................................................................... Date ......................................................................... If paying by bank transfer/wire please send your payment to: Bank: NatWest Bank, Piccadilly & New Bond Street Branch, 63-65 Piccadilly, London W1J 0AJ Account Name: Crain Communications Limited Euro Account Number: 55 002 48021903 Sort Code: 50-41-01 IBAN: GB65NWBK60721148021903 BIC: NWBKGB2L Please state your EU VAT registration number: ............................................................................................................................................ PLEASE QUOTE THE CONFERENCE NAME AND DELEGATE’S NAME IN YOUR CORRESPONDENCE

Accommodation is not included in the registration fee. A limited number of bedrooms at a discounted rate per night have been arranged for delegates at the hotel in Brussels. To book your room, please contact beds@ venuesearch.co.uk quoting the event name. All bookings will require a credit card. If you require alternative accommodation options or wish to book your accommodation and travel all in one please contact our travel agent, Baxter Hoare who will be able to assist you. Telephone: +44 (0)207 407 5492 Fax: +44 (0)207 378 7439 Email: events@baxterhoare.com

Delegate Rates Please register delegate(s) for the Early Bird rate for all bookings received on or before Friday 2nd November of €949 + applicable VAT* per delegate. Please register delegate(s) for the Normal rate for all bookings received after Friday 2nd November of €1,149 + applicable VAT* per delegate. * VAT will be charged at 21% Belgian VAT. Group discounts are available. Please contact epnconferences@crain.com for further information. Terms and conditions Data protection By entering your details in the fields above, you agree to allow European Plastics News, PRW, Plastics News, Crain Communications and companies associated with this event to contact you (by mail, email, telephone or fax) regarding their services. If you do not wish to receive such communications please contact us in writing. If you do not wish to receive mailings from other carefully selected companies please tick ❑ Please note The conference fee covers entrance to all sessions, conference documentation and available papers, refreshment breaks, lunch and networking drinks reception on Tuesday 27th November 2012. Hotel accommodation is not included. Booking conditions A confirmation email will be sent to you on receipt of your booking. Payment must be received one week before the conference. Registrations made less than two weeks before the conference must provide credit card details to secure the booking. Travel insurance You are advised to take out appropriate travel insurance, as we will not accept any liability for travelling, accommodation or other expenses incurred as a consequence of a possible conference cancellation or postponement. In any event, Crain Communications Ltd will not accept liability for any loss, including incidental or consequential damages, etc other than a refund of the delegate ticket if purchased. Conference language English. Please note that no translation service will be provided. Cancellations / substitutions Cancellations made before 10th September 2012: 10% of invoice total. Cancellations made between 11th September and 11th October 2012: 50% of invoice total. Cancellations made after 12th October 2012: 100% of invoice total. Substitutions can be made at any time. Cancellations/ Substitutions must be made in writing. Important notice – Bookings received less than two weeks before the conference date can only be paid by credit card. Access and dietary requirements To help us ensure that all delegates attending the conference are able to participate fully, please let us know about any special access or dietary requirements you may have. Crain Communications / European Plastics News reserves the right to cancel or alter the programme at any time. © Crain Communications 2012


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