The Brussels Map Circle 2019 Excursion | 18 May 2019
Registration form for the Brussels Map Circle 2019 Excursion | 18 May 2019 in Zuid Holland.
Due to the regulations in the visited places, the number of participants is strictly limited to 25.
Participation is limited to our Members.
If necessary the date of the transfer will depart participants.
Email address *
First / given name *
Your answer
Last / family name *
Your answer
Telephone *
Your answer
Restaurant - Intention to participate
Please indicate your intentions. Restaurant and brasserie expenses are borne by each participant.
Payments - To be paid on the Brussels Map Circle account
Please pay at IBAN BE52 0682 4754 2209 | BIC GKCCBEBB.
Debtor account number (IBAN) *
This allows our Treasurer to reconcile the accounts.
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service