Registration Form
Seminar: “Devices for Drug Delivery” and Conference: Medical Plastics” 2008

Please read conditions before you register.

Ms/Mr/Dr. First Name – Surname _____________________________________________________

Job Title__________________________________________________________

Company – Department_______________________________________________

Street____________________________________________________________________________

Zip code – City______________________________Country_______________________________

Telephone__________________________ E-mail__________________________

Vat. No.__________________________Sponsor__________________________

Discount for 2 and 3 days: 10%
Prices are subject to change without notice

Accommodation (single room incl. breakfast): Schæffergården – DKK 925 / EUR 130

__________________  -  __________________  = ____________
Arrival                                                             Departure                                               night (s)

________________________                           __________________________
Signature                                                                              Date

Terms of Payment: Payment is required against invoice and in advance of the event