icam 16 • Registration

I hereby register as follows:
I am icam member and register for a fee of 700 €
As an icam member I additionally register a partner for a fee of 350 €

I am not an icam member and register for a fee of 780 €
I additionally register a partner for a fee of 780 €

I take part in the pre-conference tour for a fee of 40 €
My partner takes part in the pre-conference tour for a fee of 40 €

I take part in the post-conference tour for a fee of 760 €
Me and my partner take part in the post-conference tour for a fee of 1440 €

Please register my institution for the market place in Frankfurt

1st person:
		Mrs. Mr.
Title
First name*
Last name*
Passport number⁽¹⁾
Institution
Street *
ZIP Code*
City*
Country*
E-mail*
Telephone
Mobile phone*
Organization*

Invoice address if different from the declared address
Institution
Street
ZIP Code
City
Country


2nd person:
		Mrs. Mr.
Title
First name
Last name
Passport number⁽¹⁾
Institution
Street
ZIP Code
City
Country

Invoice address if different from the declared address
Institution
Street
ZIP Code
City
Country


Additional information

(1) Because of official safety regulations we need your passport number for the visit of the new ECB-Building in Frankfurt.

* = Required items



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