Registration - BeNeLux Power 2016

Networking evening

Wednesday 19 October evening-
* Gala Dinner €75 for members and sponsor recommended participants, €125 for others
* Hotel room - €120 for all
(Optional but highly recommended for a relaxed networking evening and a fresh start for the conference day)

Gala Dinner:

Yes

Hotel room :

Yes

Thursday 20 October

Thursday 20 October - Expo, 4 track conference, vendor solutions and Excellence Awards stream
- Free for members or sponsor recommended participants
- €150 for others

Track choices (choose all you may attend, needed for room capacity planning): *

Become member

Become national COMMON member for 2017 and take advantages of member prices already NOW!

Annual fee excluding VAT:

Belgium company membership: 3 seats/event (250 Euro)

Belgium individual membership (100 Euro)

Ngi-NGN SIG COMMON membership (200 Euro)

Luxembourg company membership (300 Euro)

Invoice Details if payment

Company Name:

Address:

City post code:

City:

Country:

VAT number:

(If applicable) Purchase Order number and date:

Comments:

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Registration BeNeLux Power 19-20 October 2016