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Register – Contact Information

PLEASE NOTE: This event is invitation only and demand will be high. If you have received an invite and would like to attend please submit your registration by providing the information below, then click on NEXT to proceed. You will then be contacted by one of the event team to let you know if we have been able to allocate you a place.

 

Please complete all the relevant fields below in order to make a booking for this event. If you need to edit any details, you can do this from the 'Confirm booking' page.

 

Registering more than one guest?
Should you wish to register more than one guest, you will have the opportunity to do this on the following pages.

 

Registering on behalf of a colleague?
If you are the main booking contact, but are making this booking for another person then please enter your details on this page. You will have an opportunity to enter the guest details later.

 

Please do not write in complete capitals, but instead use standard text formatting (i.e. Title Case for names and addresses).

 

All fields marked with * are required.

1. Your information

* Title

A value is required.A value is required.

 

* First name

A value is required.

 

* Family name

A value is required.

 

* Organisation

A value is required.

 

* Position

A value is required.

 

* Organisation type

A value is required.A value is required.

 

2. Contact information

* Address line 1

A value is required.

 

Address line 2

 

Address line 3

 

* City/Town

A value is required.

 

* Postcode

A value is required.

 

* Country

A value is required.A value is required.

 

* Phone

+ (0) A value is required.

 

Mobile phone

+ (0) A value is required.

 

* E-mail address

A value is required.Invalid format.

 

* Confirm e-mail

A value is required. The values don't match

 

How did you hear about this event?

Maximum 255 characters (including spaces).

 

* Contact/delegate

Are you attending the event, or are you making the booking on someone else's behalf?


Please select an item.

 

 

Logistics

When

Tuesday 6 March, 2018
19.00 to 22.00

CET

 

Where

House of European History

Rue Belliard 135
1000 Brussels
Belgium

Google location map

 

 

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