blickfang GmbH
Filderstrasse 45
D-70180 Stuttgart
T +49 (0) 711 99 093 90
F +49 (0) 711 99 093 50
Application for
23 I 24 I 25 August
Vitra Museum, Weil am Rhein
Registration deadline: 11th ofJuly 2016
Mail to
Name I company
Street
Country Code I postcode I city
Telephonemobile
E-mailWebsite
VAT-no.
Participation fee
I’d like to book the blickfangdesignworkshop
and stay at the Hotel Nomad at a total charge of 870€.
and stay at the Hotel Krone at a total charge of 770€.
We are ____ participants.Costs for additional persons will be confirmed at a later date depending on the final numbers of participants.
Use of photographs
I agree that blickfang GmbH may publish and use any photographs I have submitted free of charge and unreservedly and without further consent on my part and that the photographs may be published by third parties for press and advertising purposes within the bounds of blickfangdesignworkshop. Photocredits can’t be passed on for press use.
Date & Stamp legally binding signature*
*The undersigned declares himself / herself to be authorised to issue this legally binding registration. All prices quoted are exclusive of the statutory rate of VAT (except for reverse charge mechanism in accordance with §13b UstG (German Sales Tax Law)
By submitting my registration I accept the General Terms & Conditions(go to of blickfang GmbH.
GF Dipl. Oec. Dieter Hofmann I Jennifer Reaves I Amtsgericht Stuttgart HRB 720369 I UST-IDNR.: DE814644671
BW Bank I BLZ 600 501 01 I Konto 80 28 170 I BIC SOLADEST I IBAN DE32600501010008028170
Product description
(please apply with minimum one, but maximum 3 products)
With this product I apply for attending blickfangdesignworkshop
Product photo – in colour where possible
Electronic transmission of photos: please send as
jpg, minimum 300 dpi
Please mark the photo in the file name with your label name (e.g. NameDesigner_1)
Name of designer
Product title
Product category
Year of creation
Dimensions
Price
Prototype Single object Small series
Materials
Production methods
Special characteristics I functions I ergonomic qualities
Product description
(please apply with minimum one, but maximum 3 products)
With this product I apply for attending blickfangdesignworkshop
Product photo – in colour where possible
Electronic transmission of photos: please send as
jpg, minimum 300 dpi
Please mark the photo in the file name with your label name (e.g. NameDesigner_2)
Name of designer
Product title
Product category
Year of creation
Dimensions
Price
Prototype Single object Small series
Materials
Production methods
Special characteristics I functions I ergonomic qualities
Product description
(please apply with minimum one, but maximum 3 products)
With this product I apply for attending blickfangdesignworkshop
Product photo – in colour where possible
Electronic transmission of photos: please send as
jpg, minimum 300 dpi
Please mark the photo in the file name with your label name (e.g. NameDesigner_3)
Name of designer
Product title
Product category
Year of creation
Dimensions
Price
Prototype Single object Small series
Materials
Production methods
Special characteristics I functions I ergonomic qualities
Personal Data
CompanyName of designer
Addresse
Telephone
Fax
Mobile
Homepage
Design Biography