* = field required
Details Participant
Surname*
Initials*
Suffix (e.g. van, van der, de)
First name*
Title(s) (e.g. Prof., Dr.)
  Mr Mrs Ms
Company/Organization*
Job title
Department
Address*
Zip code*
City*
Country*
Telephone*
Mobile phone
Fax
E-mail*
 
Supplementary gatherings:
Sunday evening Opening Dinner (included in conference fee)

 Yes, I will participate

 No, I will not participate

 
Monday evening Conference Dinner (included in conference fee)

Yes, I will participate

No, I will not participate

 
Business opportunities:
Yes, I register for a Tabletop presentation (EUR 250,- additional fee).
 
Conference fee:
Early Bird fee till March 31, 2007 EUR 745,- (incl. 19% VAT)
Regular fee as of April 2007 EUR 795,- (incl. 19% VAT)
Special fee members NIABA/EuropaBio EUR 595,- (incl. 19% VAT)

Method of payment:
On receipt of your online registration you will receive an invoice that should be paid to finalize your registration. Please note, that in case of cancellation there will be no refund. However, you are allowed to send a substitute to replace you.

Please use the following bank details to settle your payments. Additionally, please state clearly: ‘GiB 2007’ and number of the invoice received or the participant’s name.

For international payments:

  Bank name & address:

    Rabobank Rijn en Vallei; Rubensstraat 145, 6717 VE Ede, The Netherlands

  Account number: NL69 RABO 0397 0008 98

  Bank code: 3070

  Swift code (BIC code): RABONL2U

  Account holder: Keygene N.V.

 

For domestic payments:

  Bank name & address: Rabobank Rijn en Vallei; 6717 VE Ede

  Account number: 0397 0008 98 Account holder: Keygene N.V.

 

Herewith, I confirm my acceptance of the registration policies and procedures.