Conference attendance (i.e. without accommodation) Includes: conference proceedings, lunches (21,23 Sep), dinner poster session (22 Sep) welcome coffee & coffee/tea breaks (3 days)
* VAT-registered customers should include their VAT registration number with their subscription. All prices are in EURO (€)
by bank transfer, payable to INIVE EEIG, IBAN : BE52 4348 2089 2109 - Bank Identifier Code : KRED BE BB
I hereby authorize INIVE EEIG to charge € to my credit card for registration.
VISA Eurocard-Mastercard American Express Credit card number Expiration Date Full name of cardholder as it appears on the card
Date (Cardholder's) Signature
Please return this completed registration form to Mr. Stéphane Degauquier, AIVC Conference Secretariat INIVE, Lozenberg 7, 1932 St-Stevens-Woluwe, Belgium - Fax : +32.2.653.07.29 - Tel : +32.2.655.77.70 - e-mail : conferences.inive@bbri.be
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