First European Congress on Assertive Outreach


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Do you want to attend 5 October pre conference ? :
	A Yes - Fee € 70,- B No
Make your choice to attend 1 day or 2 days congress:
	A 2 days - Fee € 550,- B 1 day - Fee € 295,-
* If you attend 1 day , please make your choice for the date :
	6 October 7 October
Do you want to attend the 6 October Party ? :
	A Yes - Fee € 45,- B No

Payment :
	I will deposit my payment: EAOF Foundation ABNAMRO Bank Bilthoven - (Holland) Account nr. 58. 89.51.889 BIC ABNANL2A IBAN NL96ABNA0588951889 (* The Netherlands only) I authorise the EAOF Foundation to debit my account for:
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I declare that I have read the general information and registration and payment conditions. By submitting this registration form I am registered for the congress "First European Congress on Assertive Outreach - "Crossing Borders" October 5, 6 and 7, 2011, Rotterdam, The Netherlands".
	I agree with registration policy