International Plant Protection Congress (IPPC) 2015 August 24–27, 2015 • Berlin/ Germany www.ippc2015.de Print form Fax +49 3641 31 16-244 Personal details Mr Mrs/Ms Academic title First name Institution/ Company Last name Department Phone/ Fax Street/ P.O.B. E-mail ZIP & City/ Country Please indicate your age here: < 20 years 21 – 30 years 31 – 40 years 41 – 50 years 51 – 60 years 60+ years Conference Fee until Feb 28 from March 1 50 EUR 90 EUR Presenting PhD Student* 185 EUR 260 EUR PhD Students Members (DPG/IAPPS)* 245 EUR 325 EUR PhD Student* 295 EUR 375 EUR Presenting Member DPG/IAPPS 295 EUR 375 EUR Presenting Nonmember 345 EUR 425 EUR Regular Member DPG/IAPPS 395 EUR 475 EUR Regular Nonmember 445 EUR 525 EUR Regular Student* Social Program Social Evening, Aug 26 70 EUR Number Payment by (Please note: The payment by credit card is only possible with online registration made under: www.ippc2015.de) Payment by bank transfer: Payment is due upon receipt of the invoice. Please refer to the invoice number. Date Signature** * Please provide proof of status via fax +49 3641 31 16-244 or e-mail [email protected] and quote IPPC 2015 ** By signing this form, the participant accepts the general terms and conditions. General terms and conditions can be found on the conference website www.ippc2015.de. Conventus Congressmanagement & Marketing GmbH • Carl-Pulfrich-Straße 1 • 07745 Jena/Germany
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