Conference Registration Form

DIEMOLD 2015 & ICBM 2015
REGISTRATION FORM
Date:_______________
June 18 - 21, 2015 Pine Bay Holiday Resort - AYDIN, KUŞADASI, TURKEY
(PLEASE FILL IN THE REGISTRATION FORM USING CAPITAL LETTERS)
I will attend to DIEMOLD 2015. I will attend to ICBM 2015.
Name & Surname: Prof./Dr./Mr./Ms.______________________________________________________
PARTICIPANT
Affiliation: (Company / University)_________________________________________________________
Mailing Address: _____________________________________________________________________
Zip Code: __________Country: ________________ Phone: _________________________________
E‐mail: ___________________ @ ________________________________________________________
Vegetarian Food: Other Requests: _____________________________________________
REGISTRATION
I request a letter of invitation to attend the conference. Before March 30
After March 30
Authors
370 € *
400 €*
Other Participants
390 € *
430 €*
Registration Fee (A)
ACCOMPANYING PER.
Mr./Ms.
Name
* including attendance to all the meeting
events, a copy of the proceedings, coffee
brakes, lunches, welcome reception,
banquet, plant tour and local transport
(excluding airport transfers).
€
Surname
Bef. March 30
Aft. March 30
230 €** (B1)
250 €** (B1)
230 €** (B2)
250 €** (B2)
230 €** (B3)
250 €** (B3)
Accompanying Person Fee (B1)+(B2)+(B3) = (B)
** including attendance to all social events,
coffee brakes, lunches, welcome reception, banquet, plant tour and local transport (excluding airport transfers).
€
ACCOMMODATION
PINE BAY HOLIDAY RESORT & CONVENTION CENTER (5*)
Room Type
Single Room
Double Room
Triple Room
Hotel Room (B&B) (C1)
69 €
90 €
126 €
Club Room (B&B) (C1)
45 €
75 €
104 €
Ceck‐in Date
Check‐out Date
Total Nights (C2)
No of Room(s) (C3)
I will share my room with ***
Accommodation Fee (C1)x (C2)x(C3) = (C)
€
*** Please fill this field for double and
triple room options. In this case only one participant must fill payment row to eliminate repeated payment.
TOTAL FEE
(A) + (B) + (C)
€
TOUR INFORMATION
PAYMENT WITH BANK TRANSFER
PAYMENT WITH CREDIT CARD Credit Card
Visa MasterCard
Name of Cardholder: _________________________________________________
Credit Card No: ______________________________________________________
Expiry Date: Month:_______ Year: ___________ CVC* (Security No): __________
* CVC number is last 3 digit code on the back of your credit card.
Please Debit My Card : ______________€
Signature:
Note 1: Credit card information is required when reserving a hotel, even if payment is going to be made by other means.
Note 2: No bank commission will be charged for this payment method.
Bank Transfer Bank
: T. Garanti Bankasi A.S.
Branch
: Cetin Emec
Swift Code
: TGBATRIS
Account Name : Artnet Bilgi ve Iletisim Teknolojileri Ltd. Sti.
€ Acc. Number : 461 ‐ 9099013 ÇETİN EMEÇ
IBAN
: TR13 0006 2000 4610 0009 0990 13
Note 3: Please add 40€ for bank charges to GRAND TOTAL. Note 3: Please send bank receipt as soon as possible to take advantage of early bird registration.
Tours will be organised, only if there is sufficient participation. Please indicate your request and number of participants for the tour.
Tour fees will be requested individually. Other locations and tours can be organised on request.
DAILY TOURS
POST CONFERENCE TOURS
Kuşadası Tour
Istanbul Tour
Anatolia Tour
Efes Tour
Cappadocia Tour
Black Sea Cost Tour
Aegean Cost Tour
South Eastern Turkey Tour
DIEMOLD Conference Chairman
ICBM Conference Contact Person
Prof. Dr. Bilgin KAFTANOĞLU
Dr.‐Ing. Kemal DAVUT
Fellow of CIRP ‐ TURKEY
Chairman
Metal Forming Center of Excellence
ATILIM UNIVERSITY
İncek ‐ Gölbaşı 06836 ANKARA TURKEY
mobile: +90 532 425 69 79
tel: +90 312 586 88 57 secretary: +90 312 586 88 60
fax: +90 312 586 88 61
[email protected]
Metal Forming Center of Excellence
Atilim University
Email: [email protected] or
[email protected]ilim.edu.tr
ICBM Conference Chairman
Mr. Lasse Suominen
President
Stresstech Oy
FINLAND
phone: +358 400 252 566
[email protected]
Conference Organiser
Mr. Dogu Ozturk (Conference Manager)
Artnet Bilgi ve Iletisim Teknolojileri Ltd. Sti.
1314. Cadde 32/5
A. Öveçler 06460
Ankara TURKEY
Phone: +90 312 473 06 46
GSM: +90 532 275 25 87
Fax: +90 312 473 29 00
[email protected]
www.artnet.com.tr
Please fill in a separate form for each delegate. For details please refer to www.diemold.net or www.icbmconference.org
PLEASE SCAN TWO PAGES OF THE REGISTRATION FORM AND SEND TO [email protected]
OR FAX THESE TO +90 312 473 29 00