ICCIR 2018 Evening Get-Together Friday, June 8

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ICCIR 2018 Evening Get-Together Friday, June 8 | 18:30 Booking form Last name: _______________________________ First name:________________________________ Company: _________________________________________________________________________ Street: ____________________________________________________________________________ Zip-code: __________________________ City: ___________________________________________ Country: __________________________ _______________________________________________ E-Mail: ____________________________________________________________________________

_____ Ticket (s) à EUR 20,Please return the completed form to [email protected]

Method of Payment Tickets are to be paid in Euro (€) by:

□ VISA

□ MasterCard

Credit card no.: Expiry date:

CVC Code:

Card holder’s name:

________________________

Card holder’s signature:

______________________________

Date:

Signature:

□ Onsite payment at the registration desk CIRSE supports compliance with ethical standards. Therefore, CIRSE emphasizes that the present offer is directed to participants of ICCIR 2018 and recommends that the participants who want to accept the present offer shall bear any and all costs in this context themselves. Kindly note that entrance to the Evening GetTogether is NOT included in the ICCIR 2018 registration fee! The tickets can be collected onsite at the registration desk, which is located in the entrance hall of the congress centre.

CIRSE Foundation Office | Neutorgasse 9 | 1010 Vienna | Austria P +43 1 904 2003 | F +43 1 904 2003 30 | [email protected] | www.iccir.eu

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