form - GreenDelta

Registration form for the Social LCA short course and interactive workshop
Introducing PSILCA: A comprehensive database for S-LCA
August 30, 2015, Bordeaux, Convention Center Bordeaux
Places are limited, please book early.
First Name:
Surname:
Title:
Zip Code:
Country:
Address:
City:
E-mail address:
Phone number:
Professional role:
Employment organization:
Study organization:
Registration fees (invoice for payment)
Please note that the user licence is prerequisite to participate in the course. A database licence (Starter
version without maintenance) is included in the regular and academic fees “incl. license”. Participants
that already purchased a PSILCA licence pay the fees “without licence”.
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Early fee: register before 12 June 2015 AND pay before 19 June 2015
Standard fee: register before 15 July 2015 AND pay before 15 July 2015
Please select your appropriate fee:
Early
Standard
 Regular (incl. licence) 600 €
 Regular (without licence) 280 €
 Regular (incl. licence) 750 €
 Regular (without licence) 350 €
 Academic (incl. licence) 400 €
 Academic (without licence) 80 €
 Academic (incl. licence) 500 €
 Academic (without licence) 100 €
Dietary requirements (will be tried to take into consideration)
Please select one of the following options if you wish a special diet:
 Vegetarian
 Vegan (no milk, eggs or fish)
 Other (please specify):
 Gluten free
 Diabetic
Please complete and return this registration form via email, mail or fax to:
Franziska Eisfeldt
Sustainability Consultant
Email: [email protected]
GreenDelta GmbH
Müllerstraße 135
13349 Berlin, Germany
Tel. +49 30 48 496 – 992
Fax +49 30 48 496 - 991
Terms and conditions:
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Registration fees include attendance at the workshop, program materials, coffee/tea and lunch
The fees “inclusive license” contain the database license type Starter without maintenance.
Participants have to bring their own notebooks.
The hotel accommodation is NOT included in the registration fee.
If you do not cancel and you do not show up at the meeting, the outstanding amount will still be due.
Upon request, paid no-shows will receive all materials covered by their registration fees.
Cancellation terms: € 50 cancellation fee for cancellations received before 1 August 2013, no refunds for
later cancellations. Cancellation must be received in writing by mail or fax.
Signature:
Date:
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