Registration Form industry exhibition NEVAC Day

Date: May 15, 2020

Time: 9:30 - 16:15

Location: Amsterdam Science Park Congress Center, Science Park 125, 1098 XG Amsterdam

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


First/last name second standholder / Comments/remarks / dietary restrictions