MID Summit & MID Workshop 21st & 22nd September 2022 in Böblingen (near Stuttgart) Salutation Mr.Ms.Mx.neutral salutation Academic Title First Name* Last Name * e-mail Address * Company/ Institute * Street * House Number * Postal Code * City * Country * Note Participation in the MID Summit & MID Workshop Is your company/ institute a member of 3-D MID e.V.? * Yes, we are a member (free of charge)No, we are not a member (300 €)I'm a student (excl. evening event; free of charge) Would you like to book a TableTop presentation for both days? (Fee: 500 €) * YesNo Would you like to participate in the evening event on 21st September 2022 on site? * YesNo I accept the following cancellation conditions: * Cancellations can only be accepted in written form. The following processing fees will be charged: - until 31th August 2022: 50 % of total fee - after 31th August 2022: 100 % of total fee I confirm that I have read the following: * 3-D MID e.V. and Hahn-Schickard-Gesellschaft e.V. are only authorized to act as agents and will not be liable for any loss, accident, damage or injury to persons or property, irrespective of the cause. The liability of persons and companies commissioned with 3-D MID e.V. and Hahn-Schickard-Gesellschaft e.V. will remain unaffected hereby. The guest participates in all tours and events at his:her own risk. Verbal agreements will not be binding, unless they are confirmed in writing. Sole places of jurisdiction are Erlangen and Villingen-Schwenningen, applicable is German law. Invoicing can be done by Hahn-Schickard e.V. as well as by 3-D MID e.V.. The decisive date in all cases is that on which incoming mail is stamped by 3-D MID e.V. and/or Hahn-Schickard-Gesellschaft e.V.. Program changes are reserved. I hereby agree to the data protection conditions. Photos will be taken at the event and may be used for marketing purposes. Collection of contact data: The data protection compliant collection of contact data is used for invoicing as well as for tracking infection chains according to the COVID-19 guidelines (§ 28a para. 1 no. 17 - Infection Protection Act). Yes, I would like to receive the newsletter of 3-D MID e.V. by e-mail. Yes, I would like to receive the newsletter of Hahn-Schickard e.V. by e-mail. * = Mandatory field Picture: Example of a table-top presentation BACK