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 (excl VAT)

is member of the Waterstof Industrie Cluster and pays 300,- euro (excl. VAT)

is younger than 18/student and pays 300,- euro (excl VAT)

is employee of a governmental organizattion and pays 300, excl VAT

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

VAT number

If you don't have a VAT number, please fill in n/a

PO number

If you don't have a PO number, please fill in n/a

Diet restrictions?

Any Comments?