The Brussels Map Circle | International Conference | Early maps of Indonesia | 9 December 2017
Registration form - Please submit before 30 November 2017
Last name / Family name
International notation format +31 42 123 45 67
Members: free admission | Non-members: EUR 10.00
CONFERENCE Lunch / buffet
I wish to participate to the lunch: EUR 45.00.
I shall transfer the following amount to the bank-account before 30 November 2017. | IBAN BE52 0682 4754 2209 | BIC GKCCBEBB
A copy of your responses will be emailed to the address you provided.
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