(Note: To pay by check, please do not submit this form on-line.Instead use your browser's print feature
to print the completed form, make written note that a check has been mailed, and fax it to 32.2.743.15.50.
You should also print this form if you require a receipt of registration.)
You may submit this form online by Fax: 32.2.743.15.50 or Mail: ACTE EMEA, Avenue des Gaulois, 7 - B-1040
Brussels. You may call 32.2.743.15.89 for questions or more information. (Full refund less a handling fee
of Euro 50 per registrant will be granted to request received in writing before or on the 11 March 2002.
No refunds will be granted for requests after that date. Telephone cancellations will not be accepted.)