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d&b workshop registration form


Please complete this form to acknowledge your registration for either one of the individual workshops or when available the package that runs on consecutive days.

Please fill out one form per person, (+) indicates a compulsory field. If the workshop is fully booked you will be added to our waitlist.

Oct 05. 2010 Product workshop in German language, Germany, Backnang.

If you want to book a workshop combination, then please tick the additional workshops:

Oct 06. 2010 Remote network workshop in German language, Germany, Backnang.
Oct 07. 2010 Line array workshop in German language, Germany, Backnang.


Lunch preference (+):
Meat
Vegetarian
None

Accommodation
Please book a hotel at the location including breakfast (+).
Single room
Double room
No hotel required

Arrival (+ if hotel wanted):
Seminar day
The day before

Departure (+ if hotel wanted):
Seminar day
The day after

My data:
 
First name (+):
Surname (+):
Company (+):
Position in the company (+):
Telephone (incl. country code +):
Mobile phone (incl. country code):
Fax:
Email (+):
No. Street/P.O. box (+):
Town, (US State,) postcode (+):
Country / Country code (+):
Feel free to add additional comments or questions.


I have read the workshop/s description and legal information (+).
I agree to the transfer and storage of my data according to d&b's data privacy protection policy (+).
I would like to receive a copy of this registration email sent to my email address above.