LEUVEN MINDGATE

Workshop 'Effective Leadership'- Tuesday 20 March 2018


Registration form

Click here for the full programme, speaker info and programme fees. 
 

To register, please complete and submit the online registration form.
Registration (*) for this event is possible until 13 March 2018.

When subscribing for a colleague, please send an e-mail with the contact details of the participant and invoicing information.

Contact information:

 

 



Please note: modifications to the contact details as registered in our database can be requested in the remarks field further below.

Purchase Order


Please fill in the PO number. Enter No if no PO number is required or Will follow when it will be delivered later on.

PO-number *: 

Please make out the PO addressed to :
LEUVEN MINDGATE VZW - Kapeldreef 60 - 3001 Leuven - Belgium
VAT: BE0656.972.486 RPR Leuven
www.leuvenmindgate.be
contact person invoicing: Elise Swinnen, admin@leuvenmindgate.be
invoices will be sent by our accountant from the following e-mailaddress info@dkpa.be
Bank coordinates: KBC: BE46 7360 2475 1636 (KREDBEBB)

Please inform also the following person about the registration:


First name : 
Last name : 
Function : 
E-mailaddress : 

Invoice information:


Please fill in if the invoice has to be sent to another address or company.

Company : 
Title : 
Last name : 
First name : 
Address1 : 
Address2 : 
Postal code (e.g. B-1234) : 
Town : 
Country : 
E-mail : 
VAT number (eg. BE 0123 456 789) : 

Extra info


Do you wish to receive membership information? :     

Remarks (modifications in contact details, specific invoice needs,...) : 
 

Participation in our activities at a discount with KMO-portefeuille
Pijler OPLEIDING: Leuven MindGate Registration number DV.O219862
More info on www.kmo-portefeuille.be

(*) Leuven MindGate will collect and keep the data on this registration form. This information can be corrected or removed on your request, as determined by law.

Cancellation after subscription is not possible. However, replacement by a colleague is allowed.

Payment information

 
I am a member of Leuven MindGate. I register for the workshop 'Effective Leadership' on 20 March 2018 and pay 550 euro (VAT excl.)
I am not a member of Leuven MindGate. I register for the workshop 'Effective Leadership' on 20 March 2018 and pay 650 euro (VAT excl.)
Don't know. Please contact me.

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