Moulds Event 2010 Registration Form

For your best convenience, the registration process for attending any of the Moulds Event “Moldes Portugal 2010” comprised seminars will be sustained by an on-line registration form. Additional information may be required: additional forms will be presented for filling purposes. Please provide all the necessary information.
 

 General Registration Form
Fields marked with * are mandatory
 
* Name/Nome:
 
*Organization/Organização:
 
*Address/Morada:    
   
* City/Cidade:         * Zip Code/Cód. Postal
 
* Country/País: 
 
* Phone/Telefone:    

Fax: 
 
* Email:    
Website:   
   

   

* Is your organization a Centimfe,Cefamol or Pool-net's associate?
YES
NO

* Is your organization a Sponsor? 
YES
NO
   

* Are you a RPD Speaker/Author? 
YES
NO

* Are you a ENER-Plast Partner?  
YES
NO

Student (only portuguese students, excluding post-graduation, MSC, MBA or PhD students)? 

 Events participation
  Please select the events you wish to participate:

    

Events in Marinha Grande Lunchs / Dinners

20th - 21st September

RPD 2010 - "Industrial Knowledge for Innovation"
 - (Official Language: English)

(Lunch September 20th included on RPD 2010 , please select it not applicable to Students)

Lunch RPD 2010- (20th September)

Lunch (21st September)

Official Dinner RPD 2010 - (Quinta das Silveiras - Alto Vieiro - Leiria)

21st September

 Brokerage Event 2010 (free)
 -(Official Language: English)

  

 Official Dinner Brokerage Event 2010 - (Hotel Mar&Sol - São Pedro de Moel)

22nd September

 European Tooling Platform Roadshow(free)
-(Official Language: Portuguese/English)
      

23rd September

 ENER-Plast Technical Seminars (free)
- (Official Language: Portuguese/English)


 

 Payment conditions

* Direct your fee to:        
 


By Cheque (Portugal only):
        Centimfe
        PO BOX 313
        2431-904 Marinha Grande Codex
        PORTUGAL 


By Bank Transfer to (do not forget to mention "free of charge to the receiver"):
        Bank: Millennium BCP - Marinha Grande
        Account identification code: PT50 0033.0000.0020.2290.3970.5
        Cod. Swift: BCOMPTPL


** NIPC (VAT/TAX Number):