Registration online with the Congress of the NLS

Paris, May 9, and 10 2009
   

Last Name *    First Name*

Street            
 
 
 
 
Postal            City

Country         
Phone            Fax
E-mail *          

Registration : 150 Euros

* Necessary fields
Payment by credit transfer or cheque can also be done

- Congress NLS, 150 Euros

by credit transfer on the Belgian account :

From Belgium : 001-4562003-72 (Congrès NLS)

From other country : code IBAN : BE38 00145620 0372, code BIC : GEBABEBB

In this case print this page after having to filling the form and send to it by the post office with the mention "payment by transfer" or accompanied by a cheque. Adress :

DEMUYNCK Joost
NLS Congress

Fort Lapin 21
8000 BRUGGE (BELGIUM)