ICGSM 2022 Partner Registration Form

Partner Registration Form ICGSM 2022

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 *

Country Code Phone Number
2.3 - E-mail Address *
3. Partnership Options
Please, choose your favourite solutions. Underneath you can find the description of the different options.
3.1 - Platinum Partner: Bigger sized company logo on flyer and website + Double display table + 2 delegates (€ 4.500,00) *

Yes No
Platinum Partnership includes:
- bigger sized company logo on course website and promotional material and company profile in the “Partners” page of the website;
- double sized exhibition space positioned in a primary position in the exhibit area: 2 tables, 2 chair, 2 sockets and wireless Internet connection;
- "partner ticket" (you will get a code to obtain a special 10% discount on the registration fee for one of your customers);
- this option includes also the participation of 2 delegates of company to the Main Course (15-16 June 2022) and Ice Breaking Field Trid (Metro C Field Trip and Welcome party - 14 June 2022).
3.2 - Gold Partner: Company logo on flyer and website + Standard display table + 1 delegate (€ 2.000,00) *

Yes No
Gold Partnership includes:
- company logo on course website and promotional material and company profile in the “Partners” page of the website;
- standard sized exhibition space in the exhibit area: 1 tables, 1 chair, 1 sockets and wireless Internet connection;
- "partner ticket" (you will get a code to obtain a special 10% discount on the registration fee for one of your customers);
- this option includes also the participation of 1 delegate of company to the Main Course (15-16 June 2022).
3.3 - Silver Partner: Only logo on flyer and website + 1 delegate (€ 1.250,00) *

Yes No
Silver Partnership includes:
- company logo on course website and promotional material and company profile in the “Partners” page of the website;
- this option includes also the participation of 1 delegate of company to the Main Course (15-16 June 2022).
4. Additional options for delegates included in the sponsorship

(In addition to the partnership tier's inclusion)
4.1 - Ice Breaking Field Trip and Welcome Party (14 June 2022 - € 100,00/delegate registration - only for gold and silver tier) *

1 None
Ice Breaking Field Trip Registration includes:
- Field Trip: METRO C at Fori Imperiali (3.00 h);
- Field trip informative material;
- Welcome Party.
Field Trip Registration Fee: € 100,00
4.2 - Valfabbrica Field Trip (17 June 2022 - € 250,00/each delegate registration) *

1 2 None
Valfabbrica Field Trip Registration includes:
- Full day Field Trip (10.00 h): Valfabbrica - Perugia, Italy;
- Field trip informative material;
- Transportation and return from Rome to Valfabbrica;
- Lunch.
Valfabbrica Field Trip Registration Fee: € 250,00
4.3 - Acuto Field Trip (18 June 2022 - € 150,00/each delegate registration) *

1 2 None
Acuto Field Trip Registration includes:
- Half day Field Trip (6.00 h) : Acuto - Frosinone, Italy;
- Field trip informative material;
- Transportation and return from Rome to Acuto;
- Break.
Acuto Field Trip Registration Fee: € 150,00
5. Additional participant from partner

(In addition to the partnership tier's inclusion)
5.1 - Regular Registration Main Course (14-16 June 2022 - € 675,00/each participant registration) *

1 2 3 None
Main Course Registration includes:
- the unlimited access to the lecture room and to the exhibitors area during the 2 days Main Course (15-16 June 2022);
- coffee and lunch breaks;
- course material;
- Ice Breaking Field Trip (14 June 2022): METRO C Field Trip at Fori Imperiali and Welcome Party.
Regular Registration Fee: € 750,00 with the 10% discounted to € 675,00 (two more registrants of the same company)
5.2 - Virtual Main Course (15-16 June 2022 - € 522,00/each participant registration) *

1 2 3 None
Virtual Main Course Registration includes:
- the unlimited access to the lecture room during the 2 days Main Course (15-16 June 2022);
- course material.
Vitual Main Course Registration Fee: € 580,00 - 10% discounted to € 522,00 (two more registrants of the same company)
5.3 - Ice Breaking Field Trip and Welcome Party (14 June 2022 - € 90,00/each participant registration - alredy included in the Main Course registration) *

1 2 3 4 5 None
Ice Breaking Field Trip Registration includes:
- Field Trip: METRO C at Fori Imperiali (3.00 h);
- Field trip informative material;
- Welcome Party.
Field Trip Registration Fee: € 100,00 - 10% discounted to € 90,00 (two more registrants of the same company)
5.4 - Valfabbrica Field Trip (17 June 2022 - € 225,00/each participant registration) *

1 2 3 4 5 None
Valfabbrica Field Trip Registration includes:
- Full day Field Trip (10.00 h): Valfabbrica - Perugia, Italy;
- Field trip informative material;
- Transportation and return from Rome to Valfabbrica;
- Lunch.
Valfabbrica Field Trip Registration Fee: € 250,00 - 10% discounted to € 225,00 (two more registrants of the same company)
5.5 - Acuto Field Trip (18 June 2022 - € 135,00/each participant registration) *

1 2 3 4 5 None
Acuto Field Trip Registration includes:
- Half day Field Trip (6.00 h) : Acuto - Frosinone, Italy;
- Field trip informative material;
- Transportation and return from Rome to Acuto;
- Break.
Acuto Field Trip Registration Fee: € 150,00 - 10% discounted to € 135,00 (two more registrants of the same company)
6. Total
TOTAL excl. Tax with discount (in euro €)
TOTAL incl. Tax with discount applied (Final invoice in euro €)
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.

If you are entitled to the discount we'll send you the new amount by email to the address submitted.

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 2022

1. Company

2. Contact Person

3. Partnership Options

4. Additional options for delegates included in the sponsorship

5. Additional participant from partner

6. Total