EuroMEEting - Genetic Alliance UK

REGISTRATION FORM
23rd Annual EuroMeeting
28-30 March 2011 | Palexpo, Geneva, Switzerland
ID # 11101
If DIA cannot verify your membership upon receipt of registration form, you will be charged the non-member fee.
The fee is inclusive of lunch and coffee breaks of EUR 125.00 per day. Please note: from 01.01.2011 VAT will be charged 8%
Early-Bird rates available for Members:
Deadline on or before 28 January 2011
Join DIA now to qualify for the early-bird member fee! To qualify for the early-bird
discount, registration form and accompanying payment must be received by the
date above. Does not apply to government/academia/non-profit members
Early-Bird Fee
(on or before 28 January 2011) FEE VAT 7.6%
TOTAL
Join DIA now to qualify for the Early-Bird Rate € 115.00 n/a
€ 115.00
Early-Bird Industry € 1’625.00 € 123.50 € 1’748.50
CATEGORY Member (after 28 January 2011) Non-Member (with optional membership) Non-Member (without optional membership)
FEE VAT 7.6% TOTAL FEE VAT 7.6% Membership TOTAL FEE VAT 7.6% TOTAL
Industry € 1’780.00 € 135.28 € 1’915.28 € 1’780.00 € 135.28 € 115.00 € 2’030.28 € 1’915.00 € 145.54 € 2’060.54
Charitable/Non-profit/Academia (Full-Time) € 1’335.00 € 101.46 € 1’436.46 € 1’335.00 € 101.46 € 115.00 € 1’551.46 € 1’470.00 € 111.72 € 1’5 81.72
Government (Full-Time) € 890.00 € 67.64 € 957.64 € 890.00 € 67.64 € 115.00 € 1’072.64 € 1’025.00 € 77.9 0 € 1’102.90
Monday, 28 March 2011
Tutorial Fee € 370.00 € 28.12 € 398.12
Special Roundtable 1 € 150.00 € 11.40 € 161.40
Please indicate the tutorial number you wish to attend _________________
(see pages 9-14 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
STUDENT RATES AND GROUP DISCOUNTS ARE AVAILABLE! PLEASE CONTACT THE DIA FOR MORE INFORMATION.
11101DIAWEB
REGISTRANT
PLEASE COMPLETE IN BLOCK CAPITAL LETTERS OR MAKE REGISTRATION EVEN
SIMPLER
BY ATTACHING THE REGISTRANT’S BUSINESS CARD HERE
Prof Dr Ms Mr
Last Name
PAYMENT METHODS - Credit cards are our preferred payment method.
Please charge my credit card - credit card payments by VISA, Mastercard or AMEX can be made
by completing the relevant details below. Please note that other types of credit card cannot be
accepted.
VISA MC AMEX
First Name
Card Number
Company
Exp. Date
Job Title
Cardholder’s Name
Street Address / P.O. Box
Date
Cardholder’s Signature
Postal Code
City
Cheques should be made payable to: DIA and mailed together with a copy of the registration form
to facilitate identification to: DIA Europe, Elisabethenanlage 25, Postfach, 4002 Basel, Switzerland
Country
Fax (Required for confirmation)
Telephone
Email (Required to receive presentation download instructions)
Please indicate your professional category: Academia Government
Industry Contract Service Organisation
Bank transfers: When DIA completes your registration, an email will be sent to the address on the
registration form with instructions on how to complete the bank transfer. Payments in EURO should
be addressed to “Account Holder: DIA.” including your name, company, Meeting ID# 11101 as well as
the invoice number to ensure correct allocation of your payment.
Payments must be net of all charges and bank charges must be borne by the payer.
Persons under 18 are not allowed to attend DIA meetings.
CANCELLATION POLICY All cancellations must be in writing and received with DIA Europe by 17:00 CET on 18 March 2011
Cancellations received by the date above are subject to an administrative fee:
Full Meeting Cancellation: Industry (Member/non-member) = € 200.00. Government/Academia/Non-profit (Member/non-member) = € 100.00. Tutorial cancellation:
€ 50.00. Registered attendees who do not cancel by the date above and do not attend, will be responsible for the full registration fee. Registered attendees are
responsible for cancelling their own hotel reservations. DIA Europe reserves the right to alter the venue and dates if necessary. If an event is cancelled DIA Europe is
not responsible for airfare, hotel or other costs incurred by registrants.
Transfer Policy
You may transfer your registration to a colleague prior to the start of the event but membership is not transferable. Substitute attendees will be responsible for the
non-member fee, if applicable. Please notify DIA Europe office of any such substitutions as soon as possible.
IMPORTANT:
Hotel and travel reservations should be made ONLY after receipt of written registration confirmation from DIA Europe.
If you have not received your confirmation within five working days, please contact DIA Europe.
HOW TO REGISTER
The DIA 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.
Online www.diahome.org Fax +41 61 225 51 52 Email diaeurope@diaeurope.org Mail
DIA Europe
Postfach, 4002 Basel, Switzerland
All registrations received at the DIA European Office by 18:00 CET on 18 February 2011, will be included in the Attendee List.
© DIA 2010