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Register – Contact information

Should you wish to register more than one delegate, you will have the opportunity on the following pages. Please ensure you select your correct organisational type as this will enable us to offer the correct associated items.

 

If you need to edit your booking details, you can do this from the 'Confirm booking' page.

 

For further information or if you have any questions then please contact Amanda Strevens on nutritionandlifestyle@forum-europe.com or +32 (0) 495 748 344.

 

Please note: If you are the main booking contact, but are making this booking for another person then please enter your details on this page. You will have an opportunity to enter the delegate details later.

 

All fields marked with * are required

1. Your information

* Title

Please select a valid item.Please select an item.

 

* First name

A value is required.

 

* Family name

A value is required.

 

* Organisation

A value is required.

 

* Position

A value is required.

 

* Organisation type

Please select a valid item.Please select an item.

 

2. Contact information

* Address line 1

A value is required.

 

Address line 2

 

Address line 3

 

* City/Town

A value is required.

 

County/Province

 

* Postcode

A value is required.

 

* Country

Please select a valid item.Please select an item.

 

* Phone

A value is required.

 

* E-mail address

A value is required.Invalid format.

 

Fax

 

Mobile phone

 

Belgian VAT registration

 

How did you hear about this event?

Maximum 255 characters (including spaces).

 

* Contact/delegate

Are you attending the event, or are you making the booking on someone else's behalf?


Please make a selection.

 

 

Logistics

When

Tue February 23, 2010 8:30am to
Wed February 24, 2010 12:00pm

Central Eastern

 

Where

Hotel Bloom

Rue Royale 250
Brussels B-1210
Belgium

Tel: +32 (0) 2 220 66 11

Fax: +32 (0) 2 217 84 44

info@hotelbloom.com

www.hotelbloom.com

Google location map

 

Downloads

Hotel Bloom reservation form

Download the Sponsorship Brochure here

 

 

Organised by Forum Europe