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Contact details
POLYSOUDE DEUTSCHLAND GmbH
Tel: 0049 (0) 7072 60076 0 E-mail: l.intze@polysoude.de
Polysoude Symposium
2015
Tuesday 21st & Wenesday 22th April
Polysoude
Symposium
Registration form
Programme:
Schedule
1st Workshop
09:00 - 09:25
09:30 - 10:00
2nd Workshop
10:10 - 10:40
10:40 - 11:00
11:00 - 11:30
11:30 - 12:00
Buffet lunch
12:00 - 13:15
13:15 - 13:45
Mr Ms
Surname .................................... First name...............................
Company .......................................................................................
Address .........................................................................................
.........................................................................................................
Country .........................................................................................
Phone ....................................... Mobile .......................................
E-Mail ............................................................................................
VAT number .....................................................................
Additional attendees (please give first name and surname):
5th Workshop
session
22nd
4th Workshop
or
........................................................................................................
3rd Workshop
21st
Department ..................................................................................
................................................................. .......................................
14:00 - 14:30
................................................................. .......................................
................................................................. .......................................
Date ............................
Signature
14:30 - 18:00
If you wish Polysoude to reserve a single room for each participant on your behalf at the BEST WESTERN Hotel, please tick
the relevant box below.
(Conditions: 81 per person, per night for one night, to be settled by the
participant)
20th
or
21st
or
22nd