asbl
Training Session : EU funding

Brussels - Wednesday 4 and Thursday 5 October 2006 -
REGISTRATION FORM
Please return completed form (signed) to
ID's, rue Saint Georges 99, B-1050 Brussels. Fax: 0032 2 735 13 01

ORGANISATION
Organisation
  
Address
City
  ZIP Code
Country
Tel
  Fax
E-mail
Website
  Field of work  

PARTICIPANT(S)
1.
Name
  
  First Name
E-mail
  
  Position
2.
Name
  
  First Name
E-mail
  
  Position
3.
Name
  
  First Name
E-mail
  
  Position
  I PAY before 4 Sept. 06

I PAY before 26 Sept 06
1 person
€440
€520
2 persons
€790
€940
3 persons
€1120
€1330
Member* of ID's OR PARTICIPANT TO PREVIOUS SESSIONS
-10%

* Membership fee: 75€/
PAYMENT BY BANK TRANSFER TO
Information Diffusion Europe Associations
Account n° 310-1174746-65 / BIC: BBRUBEBB100 /IBAN: BE 18 3101 1747 4665
ING Bank - Brussels - Belgium
This form, together with the proof of payment, is equivalent to an invoice.
After reception of the form and the payment, we will confirm your registration and send you further information.
TERMS AND CONDITIONS:
Registration is definitive when ID's has received and accepted the completed form and the full fee. The number of participants is limited to 30. In case of cancellation by ID's or if the session is postponed more than a month, registration fees are totally refunded. A full refund will be given where a cancellation is received 14 days or more prior to the event. Cancellations must be made in writing to ID's. No refund will be given for cancellations received less than 14 days before the start of the event.
I hereby agree to the Terms and Conditions of booking as described above.

Date and Signature: