QSP SUMMIT’16 THE NEW GLOBAL AGE 10 MARCH - CONGRESS CENTRE - EXPONOR / PORTO SEND THESE REGISTRATION FORM TO E-MAIL: [email protected] OR TO FAX: Name: Surname: Department: Position: E-mail: Phone Number: Date of Birth: ID: Company: Address: I intend to sign up in the worklab (subject to availability): +351 226 108 552 Vat Number: Post code: BILILING INFORMATION (IF DIFFERENT FROM PREVIOUS GIVEN) Company Name: Vat Number: Phone Number: Address: Post code: PAYMENT METHOD Name and phone number for administrative questions: Bank transfer in favor of QSP - Consultoria de Marketing, Lda. NIB: 0035 0158 0001 8389 9301 4 IBAN: PT50 0035 0158 0001 8389 9301 4 Address to receive documentation: Post Code: E-mail: PASS Bank name: Caixa Geral de Depósitos. Phone Number: PRICE UNTIL 22rd JANUARY € 550 € 500 CORPORATE (3 PERSONS) € 1.500 € 1.400 PREMIUM (10 PERSONS) € 4.700 € 4.250 INDIVIDUAL *Plus VAT PROTOCOLS: ACEPI – Digital Economy Association; AEP - Portuguese Entrepreneurial Association; AIDEC – International Association for Development and Business Competitiveness; ANPME - National Association of Small and Medium Enterprises; APCOR - Portuguese Cork Association; APPM – Portuguese Marketing Association; AMES - Asociación de Marketing de España; ATP – Textile and Clothing Association of Portugal; CCLB - British Portuguese Chamber of Commerce; and POPAI - The Global Association for Marketing at-Retail – 15% discount for individual passes and 10% for corporate and premium passes; not cumulative with discount until 22nd January. Signature and Stamp: Exclusive area for QSP - Consultoria de Marketing: Date: Res. Ins. To participate in this event, this registration form must be correctly completed and sent to QSP - Marketing Consulting, Lda. prior to the event. Registration acceptation depends on availability in the date of reception of this form by QSP - Marketing Consulting, Ltd. Cancellations: QSP accepts cancellations until 1 month before the event (total repayment of money). In case of registration with less than 1 month between the moment of reservation and event, cancellations will be accepted until 10 days before event. In the other cases, the participant may send a substitute, only need to inform us in time. According with actual legislation of data protection, the data included on this form will be computerized to a database for promotional purposes and trade by the QSP - Marketing Consulting, unless participant expresses it overtly: I do not accept that data included in this registration are transferred for commercial or promotional purposes. REGISTRATIONS · E-mail: [email protected] · Telef.: +351 916 252 000 · Fax: +351 226 108 552 NOTES: • The content of the conference presentations is complete responsibility of the speakers. • Small changes in the agenda might occur (no fault of our responsibility). • For schedule information event please see at www.qspmarketing.pt/summit • The number of participants is limited to room availability. • Simultaneous English-Portuguese translation at Auditorium. QSP - Consultoria de Marketing, Lda. · Avenida da Boavista, 1167 - 4º andar, Sala 5 · 4100-130 Porto · Portugal · Help Desk: (+351) 916 252 000 (09h30-19h00) - www.qspmarketing.pt/summit