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Registration for Cursus Solarceltechnieken
Starting
Thursday March 15, 2012
Location
Eindhoven
Known by Mikrocentrum? Fill in the form automatically!


If you have reason to assume that you are already known by Mikrocentrum you can look up this information here by entering your e-mail address and last name (without prefixes). The form will then automatically be partly filled in. For security reasons you are asked to type in a code which will be shown to you.
Company / Organisation information ( required field)
Organisation
Address
Number
Postal (zip) code
City
Country
Company activities
Branch size                               
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.
Participant 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
Areas of interest
Participant's mobile phone
Will only be used in case of emergency regarding this course or event!
Mobile phone
Information for certificate or diploma
Date of birth
(dd-mm-yyyy)
Would you like to inform someone else about this registration?
(E.g. HRM dept., superior, secretary)
(E)mail to:


Enter full name including gender.
Email address


Email address will never be exposed to third parties.
If you have additional remarks please enter below.
Remarks

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