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Achternaam/Surname*

Tussenvoegsel/Prefix

Voornaam / First name*

Company*

Job title*

Email address*

Invoice: Name (Company and/or person)*

If the invoice address is not correct and DACT has to send a 2nd one we will charge Euro 15,00 administration costs.

Address (PO box or street name)*

If the invoice address is not correct and DACT has to send a 2nd one we will charge Euro 15,00 administration costs.

Invoice: Postal code, citi and country*

If the invoice address is not correct and DACT has to send a 2nd one we will charge Euro 15,00 administration costs.

Invoice: Extra info you want to be added at the invoice*

If the invoice address is not correct and DACT has to send a 2nd one we will charge Euro 15,00 administration costs.

2022 Registration Form Visitors Treasury Fair