ESM'2008 Registration Form

(Or use the fax reply form)

Please note: This form does NOT work with Internet Explorer 3.02 or lower. It does work fine with all versions of Firefox and higher versions of Explorer.

If e-mail fails, you can also print this information and send / fax it to:
Philippe Geril, EUROSIS-ETI,
European Simulation Office
Greenbridge NV
Wetenschapspark 1
Plassendale 1, B-8400, Ostend, Belgium.
Phone: +32-59-255.330, Fax: +32-59-255.339

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BEFORE-OCTOBER-5TH,-to-account-No.-001-4081477-84--European-Technology-Institute,-ETI-Bvba,-FORTIS-BANK,-Torhoutsesteenweg-195,-B-8400-Ostend,-Belgium-IBAN-CODE:-BE03-0014-0814-7784,-SWIFT-CODE:-GEBABEBB-:-001-4081477-84-MENTION-YOUR-NAME-and-ESM-2008-(make-a-print-of-this-form-so-you-know-what-you-submitted)-and-ADD-A-COPY-OF-PAYMENT-TO-THIS-FORM-wrapper"> I will make payment by BANK TRANSFER BEFORE OCTOBER 5TH, to account No. 001-4081477-84 European Technology Institute, ETI Bvba, FORTIS BANK, Torhoutsesteenweg 195, B-8400 Ostend, Belgium IBAN CODE: BE03 0014 0814 7784, SWIFT CODE: GEBABEBB : 001-4081477-84 MENTION YOUR NAME and ESM 2008 (make a print of this form so you know what you submitted) and ADD A COPY OF PAYMENT TO THIS FORM

BEFORE-OCTOBER-5TH-and-send-it-to-Philippe-Geril,-EUROSIS-ETI,-European-Simulation-Office,-Greenbridge-NV,-Technologiepark-1,-Plassendale-1,-B-8400,-Ostend,-Belgium.-(make-a-print-of-this-form-so-you-know-what-you-submitted)-wrapper"> I will pay by CHEQUE BEFORE OCTOBER 5TH and send it to Philippe Geril, EUROSIS-ETI, European Simulation Office, Greenbridge NV, Technologiepark 1, Plassendale 1, B-8400, Ostend, Belgium. (make a print of this form so you know what you submitted)

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ESM'2008 Registration Form

(Or use the fax reply form)

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