Best Workplaces 2015 - register an extra person

Here you can subscribe an extra person. (maximum 5 persons for free, as of the 6th person, 200 euro (excl. 21% VAT) per person will be charged.

Venue: Event Lounge: Generaal Wahislaan 16/F, 1030 Schaarbeek
Date: March 10th 2015, 7 PM (19u00)

You can register another person after clicking on the submit button

Details about the extra guest:

You can subscibe another person by using this webform again.

Name

{0} must be filled in.

First name

{0} must be filled in.

Gender

FemaleMale

{0} must be filled in.

Function

{0} must be filled in.

Company

{0} must be filled in.

Telephone

His or her E-mail

{0} must be filled in.

Belgian VAT number

{0} must be filled in.

Send a confirmation email of this registration to my e-mail address as well:

Your e-mail address:

url

lead type

paying

language

entitled number of free registrations

programme