Registration form - EACB course
Sessions : July 12th-13th, 2017 OR October 11th-12th, 2017
Event Address: rue de l'Industrie 26-38, 1040 Brussels (Belgium)
For any question, please contact : secretariat@eacb.coop

I register for :
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
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