Registration Form

Company name *

Last name *

First name

Job title

5 + 2 = *

E-mailadress *

Name@company.com

Telephone nr.

012-3456789

I agree to a no-show fee of € 95,- excl. VAT. *

You may cancel your registration up to 48 hours prior to the event. It is also possible to have a colleague participate in your place. Please provide the name of your colleague via info@raivereniging.nl so that we can prepare a name badge.

During this event, we will take pictures. Do you give us permission to use these pictures for communication purposes? *

Yes, I give permission.

Automotive Campus 30
5708 JZ Helmond
The Netherlands

+31 492 799 810

info@raivereniging.nl

www.raivereniging.nl