12.07.2015 Views

Biogas

Biogas

Biogas

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Fachverband<strong>Biogas</strong> e.V. I am member of the German <strong>Biogas</strong> Association, Membership No.*:___________________*No reduced fee can be claimed without membership number Authority/University/College/Student (submit proof) Press (submit proof) I do not want my name to be entered in the list of participantsthat will be handed to attendants (The list of participantscontains the following data: firm name, name of the participant,registered office of the firm)I take part in the conference Block on 02. 02. 03. 02. 04. 02.I take part in the study tour on 05.02.I take part in the evening event on 03.02. I pay against invoice (only possible on or before 05.01.2010) by credit cardCard holderCard number ______________________ check number_______expires ____________Issued by Master Card American Express Visa by direct debit (only accepted by banks from inside Germany)Account holderR E G I S T R A T I O NAccount NoBank codeBank nameBank, date, company stamp and official signature

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