FIMM - Registration

Registration

Registration form FIMM General Assembly 2011

Salutation

Title

Firstname *

Lastname *

I am a delegate from the following FIMM member:

A - K

L - Z

Address *

ZIP Code *

City *

Country *

Phone

Fax

Email *

I am a member of the FIMM staff:

Arrival date *

Dep. date *

Hotel room reservations

Clarion Congress Hotel

I register for the FIMM Informal Get-together on October 12, 2011, beginning at 19:00 o'clock, Clarion Congress Hotel:

I register for the FIMM Dinner on October 13, 2011 beginning at 20:00 o'clock:

Message

Security-Code *

* Fields marked with an asterisk are required.

Registration form (156.8 kb)

Visa document (34.6 kb)

Registration form (211.5 kb)

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