Registration Form industry exhibition NEVAC Day

Date: May 17, 2019

Time: 9:30 - 18:00

Location: FELIX Laboratory, Radboud University, Toernooiveld 7c, 6525 ED Nijmegen

Information: Pieter Heidema, pieterheidema@gmail.com; Ad Ettema, penningmeester@nevac.nl

Company / Organisation name      
Required

Invoice Address: required
Postal code: required
Town: required
Country: required

Contact person

Last name: required
First name : required
Email: required
Phone no: required

Exhibition costs           Required
NEVAC company member (€350)
My company has no NEVAC membership (€500)
Will become NEVAC company member (€500).

IBAN: required


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