REGISTRATION FORM FIDEM BELGIUM 2016 ART MEDAL WORLD CONGRESS 2016 SEPTEMBER 6-10/11 GENT BELGIUM
ATTENTION!! You can choose between 2 options; pay before 15-06-2016 (reduced fee) or pay after 15-06-2016 (full amount). Fill in the appropriate part of the form and click on submit. By submitting you agree to pay the amount as filled in by yourself. Bank fees and banking charges are payable by the submitter.
Accompanying persons will find their badge and invitations in the bag of the person they accompany.
* Your details will never be used other than for the purpose of registering for this event.
Title:
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Name & Family Name:
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Address:
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Postal Code & City:
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Country:
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Phone and/or Cellphone
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Email
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Arrival Date
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Departure Date
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Hotel
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Basic Registration Fee - Payable before 15-06-2016
Additional costs
Fill the total amount in here:
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Basic Registration Fee - Payable after 15-06-2016
Additional costs
Fill the total amount in here:
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The basic fee includes:
- The congress bag with your badge*
- The congress catalog & program brochure*

- The congress medal*

- Maps & information brochures*

- The Gent welcome bag with surprises*

- Invitation cards for receptions & events

- Admittance to the official openings & vouchers

- All sessions, drinks & coffee breaks

- A free table at the medal fair (only registered artists)

- Entrance to the general meeting & ceremony

- Some extra surprises!

- The reception and closing banquet

* Not included for Accompanying Persons


Bank costs must be payed to your bank!

Payment in Euro only

Payable on bank account: IBAN BE32 9731 5120 0402 – BIC: ARSPBE22 ARGENTA

Mention: Art-Valley 51 (FIDEM CONGRESS 2016) – Swertmolenstraat 3 – 3020 Herent, Belgium

Address: Argenta Spaarbank nv, Belgiëlei 49-53 – 2018 Antwerpen, Belgium

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