If you would like to fax the registration form please print this page
(simply choose "Print" from your browser's menu) and fax it to: + 32 2 284 6964
Participant 1
Name:
Contact details
(address, telephone etc)
Email Address:
Participant 2
Name:
Contact details
(address, telephone etc)
Email Address:
Organisation
Organisation Name:
Contact details
(address, telephone etc)
Email Address:
Please describe your title
or position in the organisation:
Will you participate for the whole event? (check all that apply):
28th of June from 17.00 to 19.30
28th of June - Reception from 19.30 to 21.00
29th of June from 09.00 to 12.30

Do you need additional support? (check all that apply):
Entrance pass
EP Documentation by e-mail