ProCepT : Hands-on Drying & Formulation Course Registration

Spray Drying Course Registration Form

Registration
Company* :		October 25-26, 2010
Company* :		Spray Drying Course
Attendee Name* :
Attendee Name :
Attendee Name :
Attendee Name :
	I would like ProCepT to makeHotel reservation as follows:

Billing Information
Street* :		No.* :
City* :		Zipcode* :
State :		Country* :
VAT number* :

Email* :		Telephone* :

Question /Message :

Preferred method of payment :		Bank transfer Silver/Gold Customer Account Balance

* I agree that: Places are limited in order to maximize the knowledge transfer. Applications will therefore be accepted on a first come basis (confirmed registration and full payment). All applications will be acknowledged and an invoice will be issued. Payments are due before participating. There will be no refund due to cancellations made within 14 days prior to the start of the course. Attendees may be substituted at any time.
* Marked fields are compulsory

Page last updated : 27-08-2010