CLINAM 7/14- Conference and Exhibition, Basel, June 22-25, 2014
The European Summit for Clinical Nanomedicine and Targeted Medicine
Paving the Way to Personalized Diagnostics & Personalized Medicine
EXHIBITOR REGISTRATION
For more general information please contact us by email at
Exhib2014@clinam.org
Identification
*
Civility
Mr
Mrs
Ms
Dr
Pr
*
Family name
*
First name
*
Organization
*
Address
*
Zip code
*
City
*
Country
---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands [Malvinas]
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara*
Yemen
Zambia
Zimbabwe
Åland Islands
*
Phone
Mobile
Fax
*
Email
I hereby accept that my family name, first name, function and organization may be mentionned on the attendees list which will be given during the congress.
*Compulsory fields
Exhibitor stand
4 m2
1 200,00 €
6 m2
1 800,00 €
8 m2
2 400,00 €
12 m2
3 500,00 €
16 m2
4 500,00 €
0
1
2
3
4
5
Extra square meter
270,00 €
Desired segmentation of space:
x by y meter
Booth
4 m2
640,00 €
6 m2
960,00 €
8 m2
1 280,00 €
12 m2
1 920,00 €
0
1
2
3
4
5
Extra square meter
160,00 €
Equipment
Company name A3 on pillar
80,00 €
1 table, 2 chairs, 1 pin board for poster & power connection
100,00 €
For all optional and furnishing, please indicate here your needs. The Congress Center Basel will then contact you :
Comments
Ticket
0
1
2
3
Exhibitors Ticket for Conference (Transferrable)
800,00 €
0
1
2
3
Exhibitors One day Ticket for Conference (Transferrable)
400,00 €
Lunches and Events
0
1
2
3
4
Evening Brokerage Dinner & Event (Monday, June 23, 2014)
60,00 €
Extra
0
1
2
3
4
Industrial Visit, City Tour, Museum Fondation Beyeler, Thursday, June 26, 2014 09.30 – 17.00
70,00 €
Extra
Please note that there is a limitation of space and a maximum of 40 Universities shall be admitted.
Transportation
Arrival date
(jj/mm/aaaa)
Arrival time
Departure date
(jj/mm/aaaa)
Departure time
Accomodation
The Swissotel Le Plaza***** offers for Delegates of CLINAM a special price of CHF 285.—incl. Breakfast on
https://resweb.passkey.com/go/clinam
For further Hotels you may contact Basel Tourism that will be pleased to help you in finding accommodation. Please use the link
http://www.basel.com/en/search/hotels
or contact Basel Tourism, Incoming Services,
Tel. +41 (0)61 268 68 58, Fax +41 (0)61 268 68 70 E-Mail
incoming@basel.com
Cancellation policy
Before april 5 : No penalty
From April 6 until May 21 : 50% fees are due
After May 21: 100% fees are due
Cancellation requests must be sent to Insight Outside either by fax or by email.
Note:
General Liability insurance has been signed for the duration of the event by the organiser. However
this does not include damages or theft of goods within the foyer and the conference halls
For further information
Registration
Organization
INSIGHT OUTSIDE
39 chemin du vieux chêne - 38240 Meylan
Tel: +33 825 595 525
(0,15€/min*)
- Fax: +33 4 38 38 18 19
Email:
clinam2014@insight-outside.fr
Web site:
http://www.insight-outside.fr
Information desk
monday to friday from 2:00pm to 5:00pm
CLINAM
Alemannengasse 12
P.O. Box
CH-4016 Basel
Contact: Beat LOEFFLER
Email:
loeffler@clinam.org
Phone: 00 41 61 695 93 95
(*) Prices starting from fixed line incumbent, a surcharge may be applied by operators, counting the second after the first 45 seconds.
According to France's Personal Data Privacy Act in effect since June 2004, you may send a request in writing to INSIGHT OUTSIDE 39 chemin du vieux chêne, 38240 Meylan / France, or by email webmaster@insight-outside.fr to access your file in order to consult, modify and/or delete your personal information.
© 2005 - 2014
Insight Outside