REGISTRATION for the SVNE Conference May 2012.

I will attend the SVNE conference, I am... *: *

* Member means that you received an invoice in 2011/2012 for membership fee from your (national) SVN network.

I will attend on (more answers possible):

Thursday May 10 (registration at Hotel Zuiderduin)

Friday May 11 (registration at Hotel Zuiderduin)

Saturday May 12 (registration at Hotel Zuiderduin)

The whole package from Thursday to Sunday

I'm interested in attending ...:

Additional Pre-Conference Program on Thursday May 10 (E 55 pp approx. Drinks & Dinner)

Additional Post-Conference Program on Saturday May 12 (E 55 pp approx)

Additional Post-Conference Program on Sundag May 13 (E 55 pp approx.)

As soon as we have more information we will mail you.

Registration Code (if available):

Company name:

The company name you fill in here will be used for nametags and presentation lists.

Gender: *

Mrs

First name: *

Prefix:

Last name: *

Address for invoice: *

Postal code: *

Place: *

Country: *

Mobile phone nr (country code within brackets): *

My e-mail address: *

VAT number (if applicable):

Cancellation policy : *

Yes I have read and understood the cancellation policy of this Conference.

Do you have special diet-wishes, please inform us here:

Looking for sponsors! May we contact you to discuss possibilities?:

No, I'm sorry, maybe next year

Join us as member of SVN (and get the members discount):

Yes, I become a member and will be invoiced for the members fee as soon as I joined (we will mail you the applicationform)

No, I won't join SVN now, maybe next year

Membership fees for 2012 are bases on the number of employees within the company:

all fees are excluding VAT

I heard about this Conference from ... :

Ready? :