Form of Stock Subsription by xia11902

VIEWS: 6 PAGES: 1

Form of Stock Subsription document sample

More Info
									                                The railway operators and rolling stock forum
                                                            Sustainable Railways
                                                                                                      http://conferinte.clubferoviar.ro

SUBSRIPTION FORM                                                                                          26 – 27 March 2009
TECHNICAL SEMINAR

                                    The railway operators and rolling stock forum
                                                             “Sustainable Railways”

Registration for:
                     Package                                                 Details                                                Package fee
           Conference participant          participation for one person in the conference program; participation
                                                                      in related events                                         740 € + VAT (19%)
           (one person)*
           Conference participant          participation for one person in the conference program; participation
                                                                      in related events                                         629 € + VAT (19%)
           (15% discount starting with
           the second participant)*)
* Conference fee do not include accommodation and transport to/from conference hotel. In order to accommodate at the conference’s hotel (Hotel Piatra
Mare****, Poiana Braşov, Romania) for a special fee download the registration form from http://www.clubferoviar.ro/conf/talonpm.pdf and send it by fax at +4
021 224 43 86 or email at info@clubferoviar.ro., until March 20th, 2009.

Delegates details:
    Nr. crt.                 Full name                       Position                           Phone                                         Email

      1.
      2.

        Company details:                                                            (Signatory must be authorized to sign on behalf of contracting organization)
 Name:______________________________________________________________________________________________________________________
 Job title:_____________________________________________________________________________________________________________________
 Organisation:________________________________________________________________Signiture:________________________________________
 Address: ____________________________________________________________________________________________________________________
 Phone:_______________________________ Fax:______________________________ Email: ______________________________________________
 VAT No: _______________________________________________ Order No: ___________________________________________________________
 IBAN_____________________________________________________________________________________________________________________
 Bank Name__________________________________________________________________________________________________________________
 Method and details of payment:
 I shall transfer the sum of                                              Bank: BRD – GSG, Dristor
 ___________________+ VAT 19% =___________________ by                     Account RON – RO68BRDE441SV25892434410
 Bank Transfer Payment is required no later than 7 days BEFORE            Account EUR – RO38BRDE441SV44464654410
 the seminar date. The conference registration confirmation will be       Account USD – RO18BRDE441SV59648464410
 sent to you once payment has been received.                              Swift: BRDEROBU
                                                                          Name: S.C. Club Feroviar S.R.L.; Al. Postavarul 2B,
                                                                          Bl. D4bis, Sc. B, Ap. 24, Sector 3, Bucureşti
                                                                          VAT No: RO15957066 ; Order No: J40/16302/2003
 Venue and hotel accommodation:
 Venue: Hotel Piatra Mare, Str. Poienelor Nr.5, Poiana Braşov, Braşov, România, Phone: +4 0268 262 021
 Cancellation:
 Should you be unable to attend, a substitute delegate is welcome at no extra charge. A charge of 50% of the registration fee will be made for cancellations
 received in writing at least 5 days prior to the conference. The company regrets that no cancellations will be accepted within ten days of the conference start
 date. Documentation will, however, be sent to the delegates. Club Feroviar reserves the right to alter the programme without notice.


                                                                      Send form

								
To top