VISITOR REGISTRATION
 
  Visitor registration form for the Dutch Africa Enterprise FAIR 2006  
  Location: World Trade Center (WTC) Rotterdam 25 & 26 January 2006 (Beursplein 37, Rotterdam The Netherlands)  
  Registration Fee: Visit registration information  
 
General Information
 
     
  Firstname  
  Surname   Title
 
Nationality
  Gender
Male Female
 
Address
Number
  City Postal Code
 
  Country  
Telephone
Fax
  Email
 
  Website  
 
 
  Click on programme Day 1 and Day 2 for futher information  
     
  Please select the the day or days you will attend the fair  
   


         
       
  Signature (name)
 
     
 
 

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