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Registration thematic event
PLC of IPC?
Known by Mikrocentrum? Fill in the form automatically!
Your organisation ( required field)
Organisation
Address
Number
Postal (zip) code
City
Country
Website address
In what sector is your company active?
Main company activity
How many employees does your company have?
                           
   
Invoice information
Invoice reference (order) number
Invoice address if different from above
VAT number
(If EU and not NL)


Enter your VAT number if you are established in a EU country outside The Netherlands.
If you are from a EU country outside the Netherlands and your correct VAT number is filled in below
we can reverse charge the VAT. In all other cases 19% VAT will be charged.
The fee for attending is EUR 295,- (excl. VAT).
If you are a member of the High Tech Platform you will receive a EUR 50,- discount.
Visitor information
Gender       
Title (e.g. MBA, MSc, PhD)
Initials
Prefix
Last name
Inhouse address
Bldg./Room/Dep.
Job position
(best fit)
Job skill level
Email address


Participant's email. Is used for communication around this and other Mikrocentrum events. Will never be disclosed to third parties.
Phone
Fax
Areas of interest
Would you also like to confirm this registration to someone else?
(E)mail to:


Enter full name including gender.
Email address


Email address will never be exposed to third parties.
Which question(s) would you like to see answered at this event?
Vraag
If you have additional remarks please enter below.
Remarks
We reserve the right to cancel this thematic day if there are not enough participants.
If such is the case you will be notified at least one week before the event.

Search person
Enter the last name of your collegue, without prefixes. The name must be correctly spelled.
Last name