Exhibition Form1 year after the implementation of Annex 1 – November 14th – Barcelona✻Step 1 of 250%Participant InformationTitle*Mr.Mrs.Name & Surname* First Last Company*Function*E-mail* Phone numberBilling InformationCompany*Adress* Adress City ZIP/Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Intracommunity VAT numberMore information about your invoicing service, as well as the contact details of a possible contact:Registration InformationsTable top - 1 año después del Anexo 1 - November 14th, 2024 - Barcelona* Price: 1.920,00 € Table top - 1 año después del Anexo 1 - November 14th, 2024 - Barcelona* Price: 1.600,00 € Choice of your Table Top Stand (if selection is not possible = stand already booked) :*Plus de stand disponibleAdditional information (optional)Additional stand attendantI would like to register an additional stand attendant*YesNoPrice:*600€ TTC (VAT 20%) - 1 año después del Anexo 1 - November 14th, 2024 - BarcelonaPrice:*500€ (incl. VAT) - 1 año después del Anexo 1 - November 14th, 2024 - BarcelonaTitle*Mr.Mrs.Name & Surname* First Last Company*Function*E-mail*Phone numberA3P CommunicationsReceive the A3P newsletter (events, training courses, job offers, partners pharmasbiotech.com, our pharmacy and biotech magazine "La Vague" (4/year)...)*YesNoPayment DetailsPayment method*Credit CardBank transferWould you like an estimate (to draw up a purchase order)?YesNoPurchase order numberPayment by Credit Card*The Stripe Card field cannot work when the Payment Collection Method is set to Stripe Payment Form (Stripe Checkout).Total to be paid 0,00 € General ConditionsCancellation conditions*In case of a written cancellation, 50% of the registration fee will be retained. The total amount one month before the start of the event.Image rights*In accordance with the provisions relating to image rights, I authorise A3P to use the photographs taken as part of this event to illustrate A3P's communication actions, without any compensation and with no time limit.Event Badge*I am aware that when I issue my registration badge for the event, a QR code containing my personal data is automatically generated and printed on it.A3P membership*L’adhésion à l’Association est nominative et annuelle de date à date de facturation. Elle est valable dans tous les pays où A3P est présent.General conditions for A3P forms*The information collected on this form is recorded in a computerised file by the A3P Association. This information is intended for the management of the A3P database, for invoicing, as well as for the marketing and sales department. This data will not be disclosed to third parties. In accordance with the French Data Protection Act, the "Règlement Général sur la Protection des Données" (RGPD) and our Privacy Policy (https://a3p.org/a3p-privacy-policy/), you may exercise your right to access, rectify and delete this data. By submitting this form you acknowledge that you have accepted these terms and conditions and our Privacy Policy.NameThis field is for validation purposes and should be left unchanged.
