Registration form Course
First name:
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Initials:
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Last name:
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Email:
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2 + 5 =
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Phone:
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Email
Remarks:
Job title:
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Company name:
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Invoice address:
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Your reference (P.O. number)
For the attention of:
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Postal code:
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City:
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Country:
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Diet request:
VAT number (only necessary for participants from abroad):
PRE-COURSE: I also would like to attend the optional pre-course on Basic Oil Refining on Monday 12 June at an additional fee of € 250.
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Yes
No
HOTEL BOOKING: I would like to make a room reservation for the Delta Hotel at a special course rate of € 125 per night including breakfast (excluding tourist tax), for the following nights.
Sunday 11 June 2017
Monday 12 June 2017
Tuesday 13 June 2017
Wednesday 14 June 2017
I agree with the following payment and cancellation conditions: payment of course fee (€ 750 for MVO companies and € 1250 for non-MVO companies and optional pre-course fee) should be made within 14 days after receipt of the invoice. Refunds will be made for cancellations in writing up to four weeks prior to the event(s). For later cancellations, we cannot provide refunds. It is possible to name a substitute free of charge at any time.
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I agree
Louis Braillelaan 80
2719 EK Zoetermeer
t.
+31 (0)79 363 43 50
info@mvo.nl
www.mvo.nl
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