16th AEEE Conference

Ghent August 23-26 2006

 
I will attend the conference
4 days
            Amount
    € 200 before 30/06/2006             
    € 250 after 30/06/2006             
    Farewell dinner (included)             
Single day             Amount
    Thursday - € 60             
    Friday - € 60             
    Farewell dinner - € 60             
Half a day             Amount
    Wednesday pm - € 25             
    Saturday am - € 25             
    Farewell dinner - € 60             
Total Amount to transfer             
Title:
First name:
Surname:
Organization:
Profession/position:
Address:
Postal Code:
City:
Country:
Phone:
E-mail:
I will transfer the conference fee to the following account:

Bank account number : 737-0177774-16
IBAN : BE72 7370 1777 7416
BIC : KREDBEBB

KBC
Kortrijksesteenweg 396
9000 Gent
Belgium

Account holder EROV, Seminariestraat 2, 9000 Gent
The registration will be confirmed when the conference fee is transferred to the account