registration form - Parque Tecnológico de Álava

“ECONOMÍA Y SOSTENIBILIDAD: EL MODELO DE LOS PARQUES CIENTÍFICOS Y TECNOLÓGICOS”
“EKONOMIA ETA IRAUNKORTASUNA: ZIENTZIA ETA TEKNOLOGI PARKEEN EREDUA”
“ECONOMY AND SUSTAINABILITY: THE SCIENCE AND TECHNOLOGY PARK MODEL”
Conferencia Internacional de APTE
17, 18, 19 de octubre de 2012
APTEren Nazioarteko Biltzarra
2012ko urriak 17, 18, 19
APTE International Conference
17, 18, 19 October 2012
REGISTRATION FORM
To register you must fill in this form and send it by post /fax to the Technical Secretariat whose details are at the bottom.
First Name and Surname: ______________________________________________________________________________________________________
Organisation:_________________________________________________________________________________________________________________
Position:______________________________________________________________________________________________________________________
Company VAT Number:________________________________________________________________________________________________________
Address:_____________________________________________________________________________________________________________________
City:_______________________________________________County:____________________________________ Postcode:_______________________
Telephone:__________________________________________Mobile:____________________________________________________________________
Email:____________________________________________________________________________ Fax:________________________________________
Accompanying Person for the Social Program (First Name and Surname):______________________________________________________________
REGISTRATION TYPE
-
Please indicate below if you are going to attend only the APTE International Conference or if you are also interested in attending the IASP Workshop.
Select the registration type and fee.
Registration Deadline: 15/10/12
Registrations made before 01/10/12 will have a discount of up to 20%.
Before
After
01/10/12
01/10/12
APTE International Conference
(October 17th, 18th & 19th)
APTE Members
€200
€240
Non APTE members
€250
€300
IASP Workshop
(October 16th & 17th)
IASP Members
€170
€200
Non IASP members
€210
€250
APTE International Conference + IASP Workshop
(October 16th, 17th, 18th & 19th)
APTE Members and/or IASP members
€285
€340
Non APTE members and non IASP members €355
€430
Daily Fee (to attend on a specific day only)
APTE Members and/or IASP members
€85
€100
Non APTE members and non IASP members
€100
€120
Selected Days:
IASP Workshop
16th
APTE International Conference
17th
17th
18th
19th
PAYMENT METHOD
VISA
MASTERCARD
Card Number:_______________________________________________ CCV: ______________ Expiry Date:_____________________________________
(last 3 numbers on the back)
Name of Cardholder:______________________________________________________________Signature: _____________________________________
Bank Transfer: SWIFT Code (BIC) CECAESMM097, IBAN ES3520970185310008813842 (the Account name is “Congreso APTE-IASP”)*
*Important.
Please put your name and organisation in the bank transfer details and attach the bank transfer receipt to the registration form and send them
by post/ fax to the Technical Secretariat whose details are at the bottom.
INVOICE DETAILS
Organisation:____________________________________________________________________________________________________________________
Company VAT Number:____________________________________________________________________________________________________________
Address:_______________________________________________________________________________________________________________________
City:__________________________________________ County: _______________________________________ Postcode:________________________
HOTELS
- Find more information on recommended hotels in the website section “Practical Information”.
- There are special rates for reservations made by 17 September.
LEGAL NOTICE
TECHNICAL SECRETARIAT
Kmeetings Eventos Profesionales
Hermanos Lumiere, 11, Of. 9,
01510 Vitoria-Gasteiz (Álava)
Opening Hours
8.30 -18.00
T. 945 29 70 16
F. 945 29 83 00
[email protected]
PLACES ARE LIMITED. Registrations will be
on a strictly first-come, first-served basis.
The event is organised by Alava Technology Park (PTA) and the Basque Technology Park Network, in
collaboration with the Spanish Association of Science and Technology Parks (APTE), the International
Association of Science Parks (IASP) and the Technical Secretariat of Kmeetings Eventos Profesionales. In
accordance with the Spanish Data Protection Law (LOPD) we inform you that your data will be included
in the “Registro” datafile owned by PTA, whose registered address is at 11 Hermanos Lumiere street,
01510, Vitoria-Gasteiz (Alava), for the purposes of administrative management, activity management,
commercial management and other events organised by PTA. This information may be supplied to collaborating companies, public administrations and company groups related to this field if necessary.
You hereby expressly authorise PTA to send you information and marketing communications by post and
e-mail, concerning other activities organised by PTA or by other organisations that could be of interest
to you. We remind you that in compliance with the current legislation, you may exercise your rights of
access, correction or, where the case may be, cancellation by sending an e-mail to [email protected] or in
writing to Alava Technology Park, Hermanos Lumiere 11, 01510, Vitoria-Gasteiz (Alava).
INFORMATION ABOUT REGISTRATION FEES
X APTE INTERNATIONAL CONFERENCE / IASP WORKSHOP
16‐19th OCTOBER 2012
Timetable
9:00‐10:00
10:00‐11:00
11:00‐12:00
12:00‐13:00
13:00‐14:00
14:00‐15:00
15:00‐16:00
16:00‐17:00
17:00‐18:00
18:00‐19:00
19:00‐20:00
20:00‐21:00
21:00‐22:00
22:00‐23:00
APTE
IASP
APTE+IASP
Registration Type
Thursday 18th
APTE Conferences I
IASP Visits
IASP Social Programme
APTE Meeting
APTE+IASP Social Programme
APTE Social Programme
APTE International Conference Activities
IASP Workshop Activities
APTE International Conference & IASP Workshop Joint Activity
Dates
16th & 17th October
Before 1st October 2012
From 1st October 2012
What's Included?
Costs
17th: APTE Meeting + APTE Visits I + Social Programme 18th: APTE Conferences I + APTE Social Programme 19th: APTE Conferences II + APTE Visits II
APTE Members 200 €
240 €
Non‐APTE Members
250 €
300 €
16th: IASP Social Programme 17th: IASP Conferences + IASP Visits +Social Programme IASP Members 170 €
200 €
16th: IASP Social Programme APTE INTERNATIONAL 16th, 17th, 18th & 19th October 17th: IASP Conferences + a choice of (IASP Visits or APTE CONFERENCE + (attendance in all the activities in Meeting + APTE Visits) + Social Programme both events)
18th: APTE Conferences I + APTE Social Programme 19th:APTE IASP WORKSHOP
Conferences II + APTE II Visits DAILY COST
Friday 19th
APTE Conferences II + APTE Visits
IASP Conferences
APTE INTERNATIONAL 17th, 18th & 19th October
CONFERENCE
IASP WORKSHOP
Wednesday 17th
Tuesday 16th
16th ‐19th October Includes the Visits and Conferences and the Social Programme (attendance of certain days in any on the selected day(s)
of the 2 events)
Non‐IASP Members
210 €
250 €
APTE and/ or IASP Members 285 €
340 €
Non‐APTE and non‐IASP Members
355 €
430 €
85 €
100 €
100 €
120 €
APTE and/ or IASP Members Non‐APTE and non‐IASP Members