XXVIII FECC International Convention

PLOËRMEL FRANCE

MAY 24 - 1er JUNE 2008

REGISTRATION FORM

PERSONAL DATA :

Name: ...... First name: ......

Date and birth: ......

Nationality: ......

Position: ...... Organization: ......

Address: ......

City: ...... Country: ......

Email: ...... Telephone: ...... Fax: ......

N° Passport: ...... Date and place of issue: ......

FECC membership:

Category A Category B Category C FECC position

REGISTRATION FEE

Early Registration
Before March 25, 2008 / Late Registration
After March 25, 2008
FECC Members / 490 € / 540 €
Non Members / 540€ / 590 €
under 25 years / 440€ / 485€

The payment must be made before March 25, 2008. If not, late Registration fee shall be applied.

The payment of fee has to be in full withoutany bank charges.

A supplement paymentfor a SINGLE ROOM for the period May 24 to June 1st. 190€

Accommodation

Double Room ...... :I will share the room with………………………..(Name)

Single room

Date of arrival: ...... Date of departure: ...... Nights ………………

Number of additional nights: ……………….

Please note that all nights before May 24th or after June 1th 2008 are to be additionally paid by Delegates.

Hotel / including breakfast/

Single room: €75 Double room: €95

The transfer included in the registration fee (airport/station Rennes –Hotel – airport/station Rennes)

Arrival / No. Persons / Departure / No. Persons
Date / Hour / Date / Hour
FROM / Flight N° / TO / Flight N°

Other arrival………………………………………………

Working language English German French

Payment

All payments (net of bank charges) are to be paid by not later than 25thMarch 2008 for an early registration fee and May 15th 2008 for late registration.

Registration fee and supplement payment for hotel accommodation are to be paid by bank transferin Euro to:

CREDIT AGRICOLE DU MORBIHAN – PLOËRMEL

Code Etablissement / Code Guichet / Numéro Compte / Clé R.I.B
16006 / 22011 / 80907500110 / 47

SWIFT: AGRIFRPP860

IBAN: FR761600 6220 1180 9075 0011 047

Please indicate clearly your name and “XVIII FECC Convention-PLOËRMEL 2008 »

CONFIRMATION

Written confirmation of the registration and hotel reservation will be sent only upon receipt of this form and payment.

Only the full pre-payment of registration fee guarantees your hotel reservation.

Please return this form anda copy of the payment document to: / / “PLOËRMEL 2008”
Rue Bernard Perrot
ZA du Bois Vert
56800 PLOËRMEL
France
Tel./Fax :+33 (0)2.97.93.65 .18
Email:

CANCELLATIONS

A refund of 80% of the prepayment will be made in case of written cancellations before May 1st. A refund of 50% will be made in case of cancellations after May 1st, 2008.

“PLOËRMEL 2008” does not bear responsibility for luggage lost or other damages caused by events out of their control such as force-major circumstances like natural disasters, air companies’ strikes, etc.

Date:------Signature:……………………………………………