Inschrijvingsmodule Hydrogen Academy

Hydrogen Academy Brussels
Registration Form

First Name

Name

Company/Organization

Company Street

Postal Code

City

Function title

Email address

Mobile number

Costs

participates and pays 900,- euro

is member of the Waterstof Industrie Cluster and pays 300,- euro

is younger than 18/student and pays 300,- euro

Email address voor invoice (if different than email address above)

VAT number

Indien uw organisatie geen BTW nummer heeft, gelieve 'NVT' in te vullen.

PO number

Indien uw organisatie geen PO nodig heeft, gelieve 'NVT' in te vullen.

Diet restrictions?

Any Comments?