registration form

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The deadline for registration is 19 May 2008. After this date only registration at the venue in Brussels is possible, where
an extra charge of € 50 (excl. 21% VAT) will be applied to the registration fees. Please register on-line at
www.corporationsandcities.org or complete and fax this form to +32 (0)16 40 35 51 (Momentum, Grensstraat 8,
3010 Leuven, Belgium). Please complete only one form per participant!
Participant information
Title:
Mr
Mrs
Ms
Profession:
First name:
Surname:
Institute/Company:
Department:
Address:
City:
Postal code:
Country:
Phone (incl. code):
Fax (incl. code):
E-mail:
VAT number:
Billing address (if different):
Abstract number* (if submitted):
* Participants with an accepted paper will be granted a 35% reduction on their colloquium and / or seminar registration fee. This reduction is not applicable to
the social event fee.
Special needs (please tick the appropriate)
Dietary(1)
Vegetarian
Diabetic
Other (please explain):
Physical(2):
(1) Please note that we cannot guarantee special meals without advance notice.
(2) If you require special facilities to participate in the conference, please send a detailed description of your needs.
Contact person: Sabien De Hanscutter, Phone +32 (0)16 40 45 55, sabien@momentum-pco.be
Food allergies
Registration (please tick the appropriate)
Young
professional(3) /
Student(4)
Non-academic(1)
The colloquium registration fee includes participation in
all presentations to take place on Monday, 26 May, including
the public evening lectures; all presentations to take place
on Tuesday, 27 May; the Envisioning Compatible Strategies
seminar to take place on Wednesday, 28 May; all lunch
and coffee breaks during the three days; and the abstract book.
700 €
400 €
100 €
850 €
500 €
100 €
The gala dinner fee includes cocktails and guided tour
at the Coudenberg archaeological site, followed by dinner
at the Bellevue Museum overlooking the Royal Palace gardens
to take place on Tuesday, 27 May.
100 €
100 €
100 €
100 €
100 €
100 €
50 €
25 €
10 €
50 €
25 €
10 €
The excursion fee includes participation in one of the three
tours to take place on Wednesday, 28 May, including coffee
break, and lunch.
Academic(2)
Young
professional(3) /
Student(4)
Academic(2)
Late rate (after 9 May)
Non-academic(1)
Early rate (until 9 May)
please tick in which excursion you wish to participate (only one)
0 Brussels: From the inside out
0 Brussels: From the perspective of corporate architecture
0 Brussels: Business districts
□
□
200 €
100 €
20 €
Total (all fees are exclusive of 21% VAT)
€
€
Reduction 35%*
€
€
The seminar Envisioning Compatible Strategies to take place on
28 May is included in colloquium fee; please tick if you wish to
□
□
□
□
250 €
125 €
20 €
€
€
€
€
€
€
€
€
participate
The seminar fee includes participation in the Multi-Actor
Urban Decision-Making seminar to take place on Wednesday,
28 May, including the preceding lunch, a copy of the recently
published Urban Decision Room: An Urban Management
Instrument, coffee break, and closing reception.
(1) Non-academic rate: applicable to persons working in private / commercial corporations or governmental organisations.
(2) Academic rate: applicable to persons employed by universities, educational, cultural or social institutions.
(3) Young professional rate: applicable to persons until the age of 30. A copy of the ID card / passport is required. Registrations in this category are limited.
(4) Student rate: a copy of the student card or a signed letter from the Head of Department is required. Registrations in this category are limited.
* Participants with an accepted paper will be granted a 35% reduction on their colloquium and / or seminar registration fee. This reduction is not applicable to
the gala dinner fee. Please note this is only applicable for one presenter per paper.
FOR YOUR INFORMATION:
PUBLIC LECTURE REGISTRATION
PARTICIPATION IN THE PUBLIC LECTURE TO TAKE PLACE ON MONDAY, 26 MAY IS INCLUDED IN THE REGISTRATION FEE OF THE COLLOQUIUM.
GUESTS CAN PARTICIPATE AT THE FOLLOWING RATES (VAT INCLUDED):
THE PUBLIC LECTURE FEE INCLUDES PARTICIPATION IN THE EVENING
PUBLIC LECTURES, AS WELL AS THE PRECEDING RECEPTION, TO TAKE
PLACE ON MONDAY, 26 MAY.
50 €
25 €
10 €
50 €
25 €
TO REGISTER FOR THE PUBLIC LECTURE ONLY, PLEASE CONTACT CORPORATIONS AND CITIES BY E-MAIL AND DO NOT USE THIS FORM.
10 €
Payment
Credit card(1)
Eurocard / Mastercard
Visa
Security code:
Card number:
Expiry date:
Name card holder:
Signature card holder:
Bank transfer(2)
Attn. Momentum / CRE 2008 (Grensstraat 8, B-3010 Leuven)
Bank:
KBC Bank, Heverlee Park
Account no.:
422-0028281-19
IBAN code:
BE39 4220 0282 8119
BIC (Swift):
KREDBEBB
(1) Other credit cards will not be accepted. Your credit card statement will show a debit to the order of Momentum Consult.
(2) Please note that all bank charges should be paid by the participant. Please indicate clearly the name of the participant and CRE 2008 in all your
remittances. Payment should be received within 2 weeks after registration.
Terms and conditions
Cancellations of confirmed registrations are subject to a charge of 25% of the total fee, provided the cancellation is received before
15 April 2008. After this date no refunds will be made. Replacements of confirmed registrations are subject to a charge of € 50 per
participant. By signing this form I confirm to have read and to agree with the terms and conditions.
Date:
Signature:
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