Registration for

Geospatial Conference Tunisia

February 18-22, 2013

Ramada Plaza Hotel, Gammarth, Tunisia

www.gct-tunisia.com

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First Name	Surname

Organization / Company	Job Title

ZIP Code	City	Street	Country

email

Additional Participants from same organization:

First Name	Surname

email	Job Title

First Name	Surname

email	Job Title

First Name	Surname

email	Job Title

My organization / company will attend as

Gold Sponsor	Silver Sponsor	B2B Participant	Delegate

EUR 3.500	EUR 2.000	EUR 800	EUR 300

includes up to 4 delegates, B2B,	includes up to 2 delegates, B2B,	includes 1 delegate

45 min presentation slot	30 min presentation slot

Additionally, I / my organization will (tick all applicable)

hold a workshop	need more information about workshops

EUR 1.500

We / I will attend the conference on (tick all applicable)

Feb 18, 2013	Feb 19, 2013	Feb 20, 2013	Feb 21, 2013	Feb 22, 2013

(Workshops)	(Excursion)

We / I will also join the following events:

Gala Dinner	Get Together with Welcome Drink

Tuesday, February 19, 19:30 hrs.	Monday, February 18, 18:00 hrs.

EUR 50 p.p. for Non-Sponsors

Sightseeing Excursion	Tunisian Dinner at “Dar Belhaj” Restaurant

Friday, February 22, half day	Thursday, February 21, 20:00 hrs.

EUR 20 p.p. for Non-Sponsors	EUR 40 p.p. (incl. Bus Transfer from/to Hotel)

We / I will require hotel rooms at Ramada Plaza
(to be booked directly with the hotel citing “GCT2013” for our special rate and complimentary airport transfer)

Single Room(s)	Double Room(s)	Other	Nights per Room

TND 175	TND 190

per night incl. breakfast	per night incl. breakfast

Please return completed form to susanne.oeldenberger@3G-Consult.de or fax to +49-32 12-1 12 65 88