Registration form - EACB course
Session :October 16-17th, 2019
Event Address: rue de l'Industrie 26-38, 1040 Brussels (Belgium)
For any question, please contact : secretariat@eacb.coop

Title *
First Name + SURNAME *
Your answer
Company + Department/position *
Your answer
Email *
Your answer
Phone number *
Your answer
Address *
Your answer
Will you attend the diner? *
Required
I understand that I will have to pay the 500€ (+VAT=605€) of registration fees to confirm my registration *
Required
Do you need an invoice? *
Please explain what are your expectations regarding the training session : *
Your answer
Please be informed that the personal data collected in this form will only be used in the context of the organisation of the EACB Course and will be deleted after it. If the EACB needs to keep it longer for any specific reason, we would of course ask your approval first. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service