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Preliminary Programme - FISITA 2010 World Automotive Congress

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Registration Form<br />

ONLINE REGISTRATION (preferred) http://www.fisita<strong>2010</strong>.com/registration/delegate<br />

If you send your registration form by fax/mail, please DO NOT also register online!<br />

Please complete and return this form to the <strong>Congress</strong> Secretariat:<br />

Diamond <strong>Congress</strong> Ltd. P.O. Box 48, 1255 Budapest, Hungary.<br />

Phone: +36 1 214 7701. Fax: +36 1 201 2680.<br />

Email: fisita<strong>2010</strong>@diamond-congress.hu<br />

Section 1 - Participant<br />

First Name: Title: Prof. Dr. Mr. Mrs. Ms.<br />

Last Name:<br />

Company (invoice will be issued automatically under this company name and address, if not otherwise requested. Please see page 48):<br />

Department:<br />

Job Title:<br />

Address:<br />

City/State: Postal Code: Country:<br />

E-mail:<br />

Phone (incl. country code): Fax (incl. country code):<br />

Member of <strong>FISITA</strong> Member Society yes no Member No:<br />

Name of Accompanying Person(s)<br />

1. Title: First Name: Last Name:<br />

2. Title: First Name: Last Name:<br />

Section 2 - Registration<br />

Registration Registration Registration<br />

payment payment payment Amount<br />

before 31 January before 30 April from 1 May<br />

Speakers 2 /Posters 2 /Session Chair (OECD 1 ) 800 EUR 870 EUR 950 EUR EUR<br />

Paper/session code:<br />

Speakers2 /Posters2 /Session Chair (non-OECD1 )<br />

Paper/session code:<br />

650 EUR 700 EUR 750 EUR EUR<br />

Delegates (OECD) 1100 EUR 1200 EUR 1300 EUR EUR<br />

Delegates (<strong>FISITA</strong> member societies) 990 EUR 1090 EUR 1190 EUR EUR<br />

Delegates (non-OECD1 )<br />

2-Day Ticket<br />

800 EUR 870 EUR 950 EUR EUR<br />

Mon & Tue Tue & Wed Wed & Thu 800 EUR EUR<br />

Travelling Fellowship3 (OECD1 ) 600 EUR EUR<br />

Travelling Fellowship3 (non-OECD1 ) 480 EUR EUR<br />

Students3 250 EUR EUR<br />

Accompanying Person(s) one two person(s) 250 EUR EUR<br />

46<br />

Please complete in block<br />

letters and check appropriate<br />

boxes and please return all<br />

3 pages! Please note: without<br />

your signature in Section 5<br />

on page 50, your registration<br />

cannot be processed.<br />

All the registration fees include 25% VAT in accordance with the Hungarian regulations.<br />

1. A list of non-OECD countries can be found at www.oecd.org<br />

2. Only one speaker per presentation is entitled to the speaker fee. Deadline for speaker registration fee payment: 31 January <strong>2010</strong>.<br />

3. For Travelling Fellowship programme and for student registration please see page 44. Please note that there is only a limited number of student places available.

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