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European Baptist Women's Conference

May 15-18, 2008 - Dalfsen, the Netherlands


Online Registration Form

Note: the fields marked with asterisk (*) are required.

Family name: *

 

Printable Registration form, here 
(in word document
format)

First name: *


Address: *


Location/City
(please include also postal code): *

Country *:

Telephone 1: *

Telephone 2:

Fax:

E-mail:


Position in your national women's union: *


Note: if you are still unsure about the details of your travel, you may specify them later, either filling again this registration form, or sending to EBWU secretary, Janny Kingma: secr.ebwu@planet.nl

I travel by 

Plane
Flight number:
Time and date of arrival:


Time and date of departure:


Train
To station: 
Time and date of arrival:


Time and date of departure:
 Other
Specify: 

    


Is visa required? *  Yes

 No
If visa required:

Passport no:
Expiry date:

Date of birth: 


Place of birth:


Room sharing 

I would like to share my room with: 



Diet: 
I am a vegetarian I am not a vegetarian

Other dietary requirements:


Other comments:



Please read this page carefully. Before sending the registration form, verify whether you have given correctly all the required information.

(If later you need to make corrections about it, do it by sending another registration form and mentioning about the corrections by the 'Other comments' field.)




 

 

 


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