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Personal details:
Your full name:
*
Your function:
*
Your e-mail:
*
Your phone:
*
Invoice & order details:
Name of your company:
*
Your company VAT:
*
Invoice address:
*
Invoice postcode:
*
Invoice city:
*
Invoice e-mail:
*
Invoice phone:
*
Invoice country:
- Select One -
Belgium
France
Germany
Luxemburg
Netherlands
Your order REF#:
*
Which training do you want to attend:
*
- Select One -
Training of 16/09/2020
I would like to subscribe:
*
- Select One -
1 X pers. = 2.650,00 EURO
2 X pers. = 5.300,00 EURO
3 X pers. = 7.950,00 EURO
4 X pers. = 10.600,00 EURO
5 X pers. = 13.250,00 EURO
Total to pay:
Total to pay:
Total to pay:
Total to pay:
Total to pay:
Is the invoice address the same as the shipping address:
- Select One -
Yes
No
Shipping details:
Shipping address:
*
Shipping postcode:
*
Shipping city:
*
shipping e-mail:
*
shipping phone:
*
Shipping country:
- Select One -
Belgium
France
Germany
Luxemburg
Netherlands
Comments:
*
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Input is required
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