Registration Form RIGHTS AND REMEDIES FOR THE CONSUMER IN THE EUROPEAN UNION Date: 13th April 2012 Please complete this form and return together with your payment as instructed below by 9th April 2012. Note that registration for the conference is secured only upon payment of the conference fee and on a first-come, first-served basis as places are limited. Surname: Name: Profession: Organisation: Position: Address: E-mail address: Telephone/Fax Number: Conference Fee: €50 (standard) / €20 (full-time students) Deadline: 9th April 2012 NB: Entities and law firms that register more than two paying delegates (standard fee) for the conference receive a free copy of the 2010 Rights and Remedies Conference book ‘Enforcing One’s Rights Under EU Law’ (published May 2011) and a 50% discount on the price of the 2011 Rights and Remedies Conference book ‘Rights and Remedies in a Liberalised and Competitive Internal Market’ (to be published in April 2012) Method of payment (please tick box): □ Bank Transfer / Internet Banking: Bank name: Bank of Valletta Account Number: 1680 0269 019 Sort code: 22688 Swift code: VALL MT MT IBAN: MT24 VALL 2201 3000 0000 1680 0269 019 Please quote the following when effecting payment: • Full Name and Surname • Details of Payment: Rights and Remedies Conference 2012 – E09FE23-21 □ Cash □ Cheque (payable to ‘University of Malta’) Instructions for payment: 1. If by cheque, please send the cheque together with the completed form by post to the address below and the receipt will be posted to you. 2. If by bank transfer, please send the e-receipt together with the completed form by post, email or fax (see details below). 3. If by cash, please call at Faculty of Laws, University of Malta, Room 217. Cancellation Policy All cancellations must be made in writing via email to jm.conference@um.edu.mt by 9th April 2012. If sufficient written notification of cancellation is received by the said date, 50% of the fee will be refunded. The participant may alternatively arrange for someone to attend the conference in his/her place at no extra charge, provided we are informed in writing in advance. By registering for the conference, you have confirmed that you have read and understood our cancellation policy. Contact details: Ms Elisa Attard and Mr James Bonnici Room 217, Faculty of Laws, University of Malta, Msida MSD 2080 Telephone number: 23402786/23403460 E-mail: jm.conference@um.edu.mt …………………… Date For Official Use ……..……………… Signature Bank Account: CA3110 SubProject: E09FE23-21