Registration Form

January, 2010
400 Euro + VAT

Company Name


Company Address


Phone


Fax


Zip Code


Tax Office


Tax No



Participants


Name Surname Position e-Mail
1.
with hotel accomondation (info)
with post conference tour (info)
2.
with hotel accomondation (info)
with post conference tour (info)
3.
with hotel accomondation (info)
with post conference tour (info)


Applicant


Name Surname


Position


e-Mail



Your contact from IMI


Date