The Brussels Map Circle 2018 Excursion | 26 and 27 May 2018
Registration form for the Brussels Map Circle 2018 Excursion | 26 and 27 May 2018 in Arlon and Luxembourg.
Due to the regulations in the visited places, the number of participants is strictly limited to 25.
Participation is limited to our Members.
Participation fees is EUR 35.00. This covers entrance costs to some collections.
Please pay at IBAN BE52 0682 4754 2209 | BIC GKCCBEBB. If necessary the date of the transfer will depart participants.
First / given name
Last / family name
Restaurant and brasserie - Intention to participate
Please indicate your intentions. Restaurant and brasserie expenses are borne by each participant.
Lunch on Saturday 26 May 2018 at 12.30 in Luxembourg
Dinner on Saturday 26 May 2018 at 20.00 h in Luxembourg
Lunch on Sunday 27 May 2018 at 12.30 in Arlon
Payments - To be paid on the Brussels Map Circle account
Excursion fee - EUR 35.00
Booking for the dinner (advance payment) - EUR 30.00
Debtor account number (IBAN)
This allows our Treasurer to reconcile the accounts.
Send me a copy of my responses.
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