ATV•SEMAPP Registration Form

ATV•SEMAPP: Registration to BIMS training seminar

Type in and send the registration form.

Please choose which kind of activity you want to attend (if more possibilities) and fill out the rest of the fields. Those with a * must be typed in.
The registration will be confirmed on your monitor and an e-mail confirmation will be sent to you as well.

Activity:
Select which part to register:	Lectures 8th and 9th March 2012. Dinner in the evening, 8th March. Room at seminarplace, 7th of March 2012. Room at seminarplace, 8th March 2012.
First name:	*
Family name:	*
E-mail address:	*
Title/occupation:
Organisation:	*
Department:
Address:	*
Postal code and postal city:	*
Country:	*
Organisation telephone no.
Customer order no.
EAN No.and other information in case of electronic invoice
Invoice address (if different from organisation address):
Comments:
Form completed by:	*
E-mail address:	* (confirmation will be sent to this E-mail address)