Document Acties

Registration form

Yes, I would like to register for SEPA 2011

The investment is € 999,- (excl. VAT) per person.

I can't be present at SEPA 2011 - I would like to order the digital syllabus

The investment is € 199,- (excl. VAT)

Your details:

Initials (Verplicht)

Surname (Verplicht)

Mr/Ms (Verplicht)

Mr. Mrs.

Date of birth

/ /

Fax

Phone (Verplicht)

Job title (Verplicht)

E-mail (Verplicht)

Name organisation (Verplicht)

Address (Verplicht)

Postal code/city (Verplicht)

Professional area

Name secretary

Your organisation:

Branche

Department

Please keep me informed about forthcoming events in relation to this topic.

By e-mail:

Yes No

By fax:

Yes No

Remarks and other questions:

Remarks

Brochure number

In the brochure, on the top of the registration form.

Required fields are marked red.

Cancellations
Should you be unable to attend, a substitute delegate is always welcome at no extra charge. Do you want to cancel your registration? This can be done up to one month before the event. We will make a refund less a service charge of € 175,- (excl. VAT). In case you cancel your registration within one month before the event, we cannot make a refund.