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Street Address:
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City: Postal Code:
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Country:
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Telephone : Fax: Mobile:
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Alternate Telephone:
E-mail:
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Payment by bank transfer or credit card.
Payment must be made before the conference starts. Payment will normally be
made in euros. If payment has not been received, a credit
card number will be taken at registration time.
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Payment method (please select one):
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1. Please send an invoice to the above address.
I will pay by bank transfer to the ECLO bank account.
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2. Please send an invoice to the above address.
I will email or telephone my credit card details (Visa or Mastercard)
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ECLO bank account ING see
below ECLO tel +32 10 24 16 00
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Seminar fees (please select)
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CANCELLATIONS
: Must be received in writing 30 days before the conference.
Cancellations received after this date will be charged the full
conference fee. Delegates may be substituted at any time if the change
is received in writing. |
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Bank ING |
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Boulevard de
l'Europe |
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1300 Wavre,
Belgium |
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Account holder
: E.C.L.O.
IBAN account : BE34 3401 8096 8490
BIC /Swift code
: BBRUBEBB
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