Registrationform

Please fill in the digital registration form below to register yourselfe for the conference Watercities in transition, European cities of the future, 22 and 23 August 2010, Amsterdam, the Netherlands. 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

Excursion
 Excursion A Excursion B

Member Waternetwork / Nirov
 Yes No

Member number

Accompanying person (diner)
 Yes No

Name accompanying person

Remarks

Payment*

Please fill in the validation code below*

captcha

* required

 

 

 

Partners:

 

 

 

Water and Energy Sponsor Waternetwerk Wit

 

 

 

Sponsor logo Nirov website