Organisation * :

Surname + name * :

Function :

Gender:

Address + nr / box * :

Postcode + Place * :

Country * :

E-mail * :

Tel. / GSM * :

URL :

Boarding area * :

Participants * : 

How do you know this event?

VAT nr :


Remark(s) 
(name of other participants,
...)








Yes, I agree with the general conditions and pay € 150 / pp or € 250 / pp
 by bank on BNP Paribas IBAN BE28 2200 9745 4320 BIC GEBABEBB 
C eBIT coach ticket reservation

Registration before 10th of March 2017. After registration and payment, you get your ticket by e-mail?

www.CeBITbusHannover.com | Tel. +32 473 98 98 87 | Marcel Auburtinlaan 37 | 2600 Antwerpen (België)
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