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La Baule WIC 2010 - Registration

1. DELEGATE DETAILS

 
Last name *
First name *
Position
Tel. *
Fax
E-mail *

 

2. REGISTRATION TO BE FOLLOWED UP BY

 
Last name
First name
Position
Tel.
Fax
E-mail

 

3. COMPANY DETAILS

Company *
Address *
State (if USA)
Zip Code*
Town *
Country *
Telephone *
Fax

 

4. PRICING DETAILS

1,950 Euros (2,332.20 Euros VAT incl.). REGISTRATION FEES INCLUDE LUNCHES AND DINNERS.

5. PAYMENTS DETAILS



* mandatory