registration form - VGB PowerTech
registration form - VGB PowerTech
registration form - VGB PowerTech
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Please register before September 2 nd , 2011 (Deadline for list of participants)<br />
<strong>VGB</strong> European Occupational Health and Safety Conference 2011, September 15 th /16 th , 2011 in Stockholm/Sweden<br />
Surname First name Title<br />
Company Department<br />
Street Street/P.O. Box Postal Code/Citiy/Country<br />
Phone Fax E-Mail<br />
Attendance fee per Person € 600,00<br />
Invoice Address (if different to the above company address)<br />
––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––<br />
Non-German participants with residence in the EU have to indicate their value added tax identification number!<br />
Value added tax identification number:<br />
Date Signature and firm stamp
<strong>VGB</strong> <strong>PowerTech</strong> e.V.<br />
Gerda Behrendes<br />
Klinkestr. 27 – 31<br />
45136 Essen<br />
Germany<br />
E-mail:<br />
gerda.behrendes@vgb.org<br />
www.vgb.org<br />
Tel.: +49 201 8128-313<br />
Fax: +49 201 8128-6313<br />
+49 201 8128-364
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