Be a Cheetah in a World of Gazelles

Registration Form


We would be pleased to welcome you to the seminar " "!
Date and Time: Tuesday 11 June 2019, 18:00 - 20:30
Location: Faculty Club, Groot Begijnhof 14, 3000 Leuven, Belgium.

In collaboration with Faculty Club.

You can find the full program here.

To register, please complete and submit the online registration form.
If online registration does not work, please send an e-mail to admin@leuvenmindgate.be with your contact details. 

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.

Please make out the PO addressed to : LEUVEN MINDGATE VZW - Vaartstraat 167, 3000 Leuven, Belgium - VAT: BE0656.972.486. Contact person invoicing: Elise Swinnen, admin@leuvenmindgate.be
Bank coordinates: KBC: BE46 7360 2475 1636 (KREDBEBB)

Please inform also the following person about the registration:

Invoice information:

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

Extra info


(*) 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.

Your registration for this event allows us to include your name, position and company in a list of participants that will be shared with other participants and guests to ensure the proper functioning of the event. You can withdraw your consent to this usage of your data at any time by sending an e-mail to: events@leuvenmindgate.be. You can - at any time - withdraw your consent of your personal data being used for the above-mentioned purpose(s) by sending an e-mail to events@leuvenmindgate.be.

Payment information


Payment method

Payment after reception of invoice.

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