Registration form Visitors

I herewith register for the International Delphy Soft Fruit Event:

Attending the program is free, you only pay cost for diner € 25,=/day

After registration, you will receive an invoice by e-mail. Your name badge will be ready at the start of the program

Register

Company Name : (required)

Title : (required)
Mr.Mrs.

First name : (required)

Surname : (required)

Address : (required)

Zipcode : (required)

City : (required)

Country : (required)

Telephonenumber : (required)

E-mail address : (required)

VAT nr (not for Dutch visitors):

IBAN (only for Dutch visitors):

Automatic collection will save you € 11,50 administration costs.
I will agree automatic collection on the entrance rate:
YesNo

I will join the Field Trip on Tuesday 27. June 2017
YesNo

I will join the Field Trip on Wednesday 28. June 2017
YesNo

I will join the Field Trip on both days
YesNo

I am interested in transport by passenger bus (we’ll keep you informed)
YesNo