REGISTRATION FORM    

Euro Implications & Global Travel Policies for Travel Management
1 October 1998
Hotel Sofitel Brussels Toison d'Or
Brussels, Belgium

ACTE Member - BF 6000
Non-member - BF 9000
Non-member Joining ACTE - BF 14.500
These rates will change to EURO rates in January and may be increased.

 
All fields are required unless marked with a "*".
 
  Mr.
Mrs.
Ms.
   

First Name

   

 Last Name

   

Title

   

Company

   

Address

   

Address*

   

City

   

State/Province

   

Zip/Postal Code

   

Country

   

Telephone

   

Facsimile*

   

E-Mail

   

 

Registration Fee:

   
ACTE Member (BF 6000)
Non-Member (BF 9000)
Non-Member Joining ACTE (BF 14.500)
 

 

Payment:

   
American Express
Diners Club
Euro MasterCard
Visa
   

Cardholder Name

   

Card Number

   

Expiration Date