GSM Partner Registration Form 2021

Partner Registration Form IcGSM 2021

After submitting your registration you will receive a confirmation email to the indicated address. If you do not receive information after three days from registration, please send us an email at partnership@geotechnicalmonitoring.com and we will contact you soon.
1. Company
1.1 - Company name *
1.2 - Address *

Street Address

Street Address 2

City Province / Region / US State

Zip Code Country
1.3 - VAT Number *
Administrative national code of your company – If you have different codes or you don’t have one please type ”000” in this filed and specify all the details for invoicing in the field “Note”.
2. Contact Person
2.1 - Name *

First Name Last Name
2.2 - Phone Number *

Area Code Phone
2.3 - E-mail Address *
example@example.com
3. Partnership Options
Please, choose your favourite solutions.
3.1 - Option A - Logo on flyer and website + Exhibition Area + n. 1 Master Class (€ 2,000.00 VAT excluded) *

Yes No
Option A includes:

– Your logo in all the promotional material, newsletter, website – Your company profile in the “Partners” page of the website;

– Exhibition Area: You will have a virtual booth where you can share your company’s promotional material with participants and you can talk to them via chat or call. This option includes also the participation of 2 delegates of company to the Main Course.

– The sponsorship of ONLY ONE Master Class during which you will have a slot of about 20 minutes. This option includes also the participation of 1 delegate of company to the sponsored Master Class.
3.2 - Option B - Only Exhibition Area (€ 1,500.00 VAT excluded) *

Yes No
Option B includes:

- Exhibition Area: You will have a virtual booth where you can share your company's promotional material with participants and you can talk to them via chat or call. This option includes also the participation of 2 delegates of company to the Main Course.
3.1 - Option C - Only Logo on flyer and website (€ 500.00 VAT excluded) *

Yes No
Option C includes:

- Your logo in all the promotional material, newsletter, website - Your company profile in the “Partners” page of the website.
3.2 - Option D - How many Master Classes do you want to sponsor? *

0 1 2 3 4
Please select the Master Classes that you want to sponsor *

Master Class on Satellite Interferometry (23 November 2021) Master Class on Distributed Fiber Optics (2 December 2021) Master Class on Photomonitoring (16 December 2021) None
Master Classes Sponsorship fees (VAT excluded):

One Master Class: € 200.00

Two Master Classes: € 300.00

Three Master Classes: € 400.00

Four Master Classes: € 500.00
Choose your favourite option from the list above.

You will have a slot of about 15 minutes. This option includes also the participation of 1 delegate of company to the sponsored Master Class.
3.3 - Option E - How many Master Classes do you want to consider for adding only your logo to the dedicated page? *

0 1 2 3 4
Please select the Master Classes of interest *

Master Class on Satellite Interferometry (23 November 2021) Master Class on Distributed Fiber Optics (2 December 2021) Master Class on Web based Data Acquisition and Management (7 December 2021) Master Class on Photomonitoring (16 December 2021) None
3.6 - Option F - Field Trip (€ 300.00) *

Yes No
Option F includes:

- The chance to perform practical demonstrations, thus showing and providing information about the most innovative solutions for geotechnical and structural monitoring;

- The participation of ONE company delegate to the demonstration during Field Trip.
4. Delegate registration options
4.1 - Main Course Registration (amount of delegates) - (€ 390,00/each registration VAT excluded) *

1 2 3 None
4.1 - Master Classes Registration (amount of delegates) *

1 2 3 None
Delegate n. 1 - How many master classes do you want to attend? *

1 2 3 4 5 6 7 8 9 10 11 12 13 14 None
Please specify the Master Class
Delegate n. 2 - How many master classes do you want to attend? *

1 2 3 4 5 6 7 8 9 10 11 12 13 14 None
Please specify the Master Class
Delegate n. 3 - How many master classes do you want to attend? *

1 2 3 4 5 6 7 8 9 10 11 12 13 14 None
Please specify the Master Class
Master Classes Registration fees (VAT excluded):

One Master Class: € 75.00

Two Master Classes: € 150.00

Three Master Classes: € 195.00

Four Master Classes: € 260.00

Five Master Classes: € 300.00

Six Master Classes: € 360.00

Seven Master Classes: € 385.00

Eight Master Classes: € 440.00

Nine Master Classes: € 450.00

Ten Master Classes: € 500.00

Eleven Master Classes: € 550.00

Twelve Master Classes: € 600.00

Thirteen Master Classes: € 650.00

Fourteen Master Classes: € 700.00
4.3 - Field Trip Registration (amount of delegates) - (€ 250.00/each registration VAT excluded) *

1 2 3 4 5 None
5. Optional Notes
Get your discount
After submitting the registration form, our office will check if you are entitled to the selected discount and will send you the confirmation.
TOTAL excl. Tax (in euro €) without discount applied
TOTAL excl. Tax (in euro €) with discount applied
TOTAL incl. Tax (in euro €) with discount applied
Note

Maximum number of characters = 500 0/500
Terms of service *

I authorize the company to use my personal data for any communication about the course according to Italian D.Lgs. 196/2003 and GDPR 679/16
Enter the message as it's shown *
IMPORTANT NOTE

If you have chosen a discount percentage please allow one working day for our office to confirm the discount itself.

Please consider that the registration process is not complete until the payment is confirmed by our office.
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Partner Registration Form IcGSM 2021

1. Company

2. Contact Person

3. Partnership Options

4. Delegate registration options

5. Optional Notes