LEUVEN MINDGATE

The Art of Leadership: Realizing the Collective Dream


REGISTRATIONS ARE CLOSED

We would be pleased to welcome you to the seminar ""!
Date and Time: Thursday September 26th 2019, 17:30 - 20:30
Location: Faculty Club, Groot Begijnhof 14, 3000 Leuven, Belgium.

In collaboration with Faculty Club.

You can find the full program here.

Registration is possible until September 19th 2019.

To register, please complete and submit the online registration form.
Please complete seperate registration forms for individuals.


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.

PO-number *: 

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:


E-mailaddress : 

Invoice information:


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

Company : 
Name / Department : 
Address : 
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,...) : 

Every participant receives a free copy of Hilde Hensen's book "Dreamers Who Do," in the language of their choice. Please indicate which language you would like to receive your copy in. *: 
 

(*) 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.


I agree that Leuven MindGate stores my personal data in its databases for contacting me about this event. *: 


Send me inspiring content and programme updates via e-mail. : 


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

 
I am a member of Leuven MindGate. I am registering for the event 'The Art of Leadership: Realizing the Collective Dream' on September 26th 2019 and will pay 80,00 euro (VAT excl.)
I am not a member of Leuven MindGate. I am registering for the event 'The Art of Leadership: Realizing the Collective Dream' on September 26th 2019 and will pay 100,00 euro (VAT excl.)
I am a member of VOKA. I am registering for the event 'The Art of Leadership: Realizing the Collective Dream' on September 26th 2019 and wil pay 80,00 euro (VAT excl.)
Don't know. Please contact me

Payment method

 
Payment after reception of invoice.

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