Please fill the registration form and fax it to + 90 216 360 75 51 or mail it to

REGISTRATION & ACCOMMODATION FORM (PLEASE USE BLOCK LETTERS)

1 - PERSONAL INFORMATION

Participant’s

Title:…………………Family Name:…………………………………….First Name:………………………………

Company / Institution:………………………………………………………………………………………………………………………

Mailing Address:………………………………………………………………………

Postal Code:………………………City / State :………………………Country :…………………………..

Billing Address:………………………………………………………………………………………..

Phone …………………………………………..Fax (……..)(…….)…………………… E-mail :…………………………………………………………………..

Accompanying Person’s

Family Name: ………………………………………………. First Name: …………………………………………………………..

2 – REGISTRATION ( Please mark the registration type you want to register )

Type of Registration Early Bird Registration Advance Registration

Until March 31th, 2015 April 1st - May27th, 2015 On site Registration

Members of MEYED € 275 € 300 € 325

Non Members of MEYED € 325 € 350 € 375

Academics € 125 € 150

Students € 125 € 150

Gala dinner €95 € 95

City Tour € 70 € 70

Early Bird For Corporate Groups (Until March 31th, 2015)

3 Pax 5 Pax 8 Pax 10 Pax

Members of MEYED : € 780 € 1250 € 1880 € 2000

Non Members of MEYED : € 945 € 1500 € 2280 € 2500

Total registration :

Since all the invoices will be sent to the participants’ company, the group prices will be valid in case of the payment is made by the same company.

Advance Registration For Corporate Groups ( 1 Nisan - 27 Mayıs 2015 arası)

3 Pax 5 Pax 8 Pax 10 Pax

Members of MEYED : € 855 € 1300 € 1960 € 2250

Non Members of MEYED : € 1005 € 1550 € 2400 € 2750

Total registration :

Since all the invoices will be sent to the participants’ company, the group prices will be valid in case of the payment is made by the same company.

Registration fee included: Entrance to the scientific meetings,1 lunch, 2 Coffee Breaks, Conference badge, bag and certificate.

Studentsmust submit the official document attesting to student status from the chairperson of their department by fax.

Above prices are inclusive of % 18 VAT. Congress has right to vary the quoted prices in accordance with any movements in the legislated rate of VAT.

3 - ACCOMMODATION

Hotel Name Single RoomDouble room

Marriott Hotel Sisli(Venue Hotel) € 175€ 195

Arrival DateDeparture Date

------

The room rates inclusive of breakfast and % 8 VAT

NOT REQUIRED

4 – PAYMENT and METHODS

Total registration and extra services :

Total accommodation:

Total payment :

1 BANK TRANSFER – The bank transfer should be exclusive of any charges. Please make sure to indicate Juicefulistanbul 2015, participant’s name and all below details on the bank transfer from. A copy of the transaction statement should be faxed with this from to EtixTravel Congress Services Worldwide at +90 216 360 75 51

IMPORTANT NOTE: Please do not forget to bring a copy of the bank transaction statement as proof of payment.

Account Name: ETIKS TURIZM

Bank Name: GARANTI A.S

Branch Name: GOZTEPE BRANCH

Branch No: 299

Account No: 9094014

IBAN No: TR07 0006 2000 2990 0009 0940 14

SWIFT No: TGBATRIS

Indicate: Juicefulistanbul 2015

2- CREDIT CARDS BY E-MAIL VisaMasterCard Amex

Name of the card holder(As it appears on your card ) :

Credit Card No:

Expire Date:

Security Code (CVC) :

GRAND TOTAL EURO :

Having signed below, I herewith confirm that I have read and am fully aware of the cancellation policy stipulated.

I hereby authorize ETIX TRAVELto debit the above mentioned credit card account with the total value of the items booked by me on this from.

Date Signature

Card Holder’s Address:

5 - CANCELLATION POLICIES

ALL CANCELLATIONS must be sent in writing to EtixTravel

REGISTRATION, GALA DINNER and CITY TOUR CANCELLATIONS made;

Until March 31st, 2015: the total amount will be refunded with a deduction of %10 of total amount for administrative charges.

After 1 April 2015: the total amount will be forfeited and no refund will be possible.

HOTEL ACCOMMODATION CANCELATION made;

Until March 31st, 2015: the total amount will be refunded with a deduction of %10 of total amount for administrative charges.

Between April 1st – 10 May 15: 1 night no show will be applied.

After May 10th: the total amount will be forfeited and no refund will be possible.

All refunds will be processed after the Congress

The Registration Forms will only be taken into consideration if accompanied with the respective payment and accommodation

OFFICAL CONGRESS TRAVEL AGENCY

Etix Tourism, Organisation and Marketing Services Inc

Bağdat Cad. Mücahit Sok. No:11 D:6 Suadiye – Istanbul / Turkey

Phone: +90 216 360 59 33 – Fax : 216 360 75 51

E-mail: ,