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Registration form

We thank you for your interest in a Solarpraxis conference.


Registration: Step 1 from 3

* required fields

Event*:
Personal data:

(Please click "Private" in case your participation is not paid for by a company. Otherwise please indicate the company's name.)


Additional person
Payment Information
Please select the desired payment method and fill in the appropriate fields.
Discount code
Additional events
*
Would you like to take part in additional events? (Multiple selections with CTRL)
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Contact and Payment Instructions

Event:
Mr / Ms *:Mrs./Ms.
Title:
First name:
Last name:
Private person:
Company*:
VAT Reg.Nr*:
(EU member states only)
Department*:
Position*:
Street:
Town:
Country:
Telephone:
Fax:
E-Mail:
Member of one of the partner associations:
Name of association:
Dinner Attendance:
Representative of the press:
Ticket:
Billing:Credit card

Billing address (if different):

Company:
VAT Reg.Nr*:
(EU member states only)
Department*:
Street:
Town:
Country:

Additional person(s) for the same event

1. Additional person:Mrs./Ms.
E-Mail:
Telephone:
Department*:
Position*:
Member of one of the partner associations:
Name of association:
Representative of the press:
Ticket:

2. Additional person:Mrs./Ms.
E-Mail:
Telephone:
Department*:
Position*:
Member of one of the partner associations:
Name of association:
Representative of the press:
Ticket:

3. Additional person: Mrs./Ms.
E-Mail:
Telephone:
Department*:
Position*:
Member of one of the partner associations:
Name of association:
Representative of the press:
Ticket:

4. Additional person: Mrs./Ms.
E-Mail:
Telephone:
Department*:
Position*:
Member of one of the partner associations:
Name of association:
Representative of the press:
Ticket:

Contact

work +49 (30) 72 62 96-300 Download Vcard
Zinnowitzer Straße 1
10115 Berlin

© 2013 Solarpraxis AG

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