Register – Contact Information

* Title

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* First name

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* Family name

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* Organisation

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*Position

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* Organisation type

Please select Corporate Organisations Not for profit / NGO National Regulator or Government Representative of Non-EU Member State Academic / Student EU Commission / Parliament / Council EU Permanent Representatives Press / Media National Regulator or Government Representative of EU Member State Speakers A value is required.A value is required.

* Address line 1

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Address line 2

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* City/Town

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* Postcode

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* Country

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*Phone

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Mobile phone

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* E-mail address

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* Confirm e-mail

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Belgian VAT registration

Please tick if registered for Belgian VAT

PO number

How did you hear about this event?

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* Contact/delegate

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

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