Introduction
Information
Leaflet
Programme
Committee members
Location
Contact

Registrationform

Please fill in the digital registration form below to register yourselfe for the conference:

“ Natural Cap – Green rehabilitation opportunities for hazardous waste sites, the example of Volgermeerpolder in the Netherlands “ 19 – 21 April 2011.

After we have received your registration we will send you an invoice with the information how to pay the fee.

Mr / Mrs*
Mr Mrs

First Name*

Last Name*

Name on your badge*

Company*

Adress*

ZIP code*

Place*

Country*

E-Mail*

Phone number

Mobile phone number

Participation
Full participation Day participation, 20 april Day participation, 21 april

I will join the conference dinner
Yes No

I will join the meet and greet
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Accompanying person
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Name accompanying person

Remarks

Payment*

Please fill in the validation code below*

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Sponsors:

Partners:

Moorga