EQUIS & EPAS Accreditation Seminar – Frankfurt, 4-6 December 2017 EQUIS/EPAS Accredition Seminar Frankfurt, 4-6 December 2017 Step 1:Please select*EQUISEPASEQUIS & EPASPersonal information:Name* DrMrMrsMsProf Title First Last Job Title*Company/Institution*Address* Street Address City ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Phone (Int'l)*Purchase OrderAffiliated to VAT ?*YesNoVAT number*My portraitPlease attach your photo in JPG format (full face portrait; 1MB max.). The photo will be added to the participants' list to facilitate networking.Accepted file types: jpg.Membership:Membership Status*EFMD Full MemberEFMD Affiliated MemberNon-memberPrice for the EQUIS module:as EFMD Full Member Price: 750,00 € as EFMD Affiliated Member Price: 850,00 € as Non-member Price: 950,00 € Price for the EPAS module:as EFMD Full Member Price: 750,00 € as EFMD Affiliated Member Price: 850,00 € as Non-member Price: 950,00 € Price for both modules:as EFMD Full Member Price: 1.125,00 € as EFMD Affiliated Member Price: 1.275,00 € as Non-member Price: 1.425,00 € Total price (VAT included):VAT 0,00 € TOTAL 0,00 € These fees cover attendance to the meeting, documentation, meals and refreshments, but NOT hotel accommodations. Payment method*Please note that we cannot accept Debit Cards Bank TransferCredit CardCANCELLATION POLICY: Cancellations must be confirmed in writing. If we receive notice of your withdrawal before 20 November 2017, a cancellation administrative fee of 89,25 € (75 € + 19% VAT) will be charged. Thereafter, we regret that we are unable to refund any fees. However, in such cases, substitutes are welcome at no extra cost as long as EFMD receives notification of the name, title and address of the substitute.Catering:I will join the EQUIS dinner on Monday 4 December 2017*YesNoI will join the EPAS dinner on Tuesday 5 December 2017*YesNoI will join the dinners Monday 4 December 2017 Tuesday 5 December 2017 I am allergic toalmondsblueberriesboletus mushroomchivesfigshazelnutsshellfishotherif 'other', please specify:*Dietary requirementsno dairy productsno fishno glutenno meatno nutsno porkno shellfishveganvegetarianotherif 'other', please specify:*General:I agree with the terms and general conditions stated on your website.* Yes I declare that all the information stated above is accurate, including allergies and dietary requirements.* Yes I authorise EFMD to use all information communicated within the legal framework of its activities.* Yes I agree to receive an e-mail newsletter and other communication material from EFMD.* I can unsubscribe or update my preferences at any time.YesNoTechnical informationRegistration date Your unique IDEvent referencePhoneThis field is for validation purposes and should be left unchanged.