Personal Information
Full Name:
Adress:
Country:
VAT Number:
Company:
UITP Membership Number:
Telephone:
Fax:
Email adress:

Flight Information:
Arrival date in Lisbon:
Hour of Arrival:
Flight Number:
   
Departure Date:
Hour of Departure:
Flight number:

Other Informations:
I intend to take part in the
networking dinner on Thursday night:
I intend to take part in the
technical visit on Friday morning:

Registration Fees:
UITP Members € 250 + VAT
Non UITP Members € 350 + VAT

Please note that the fees cover coffee breaks,
buffet lunch, networking dinner, interpretation, technical
visits and the documentation of the event.
Travel and accommodation costs are not included and
are organised and paid for on an individual basis.


Payment

Please note that the payment has
to be done before 15 October 2007.
After this date UITP cannot guarantee
your participation.

UITP accoun t: Bank: FORTIS - Account: 210-0117353-35
IBAN: BE 57210011735335
BIC: GEBA BE BB 36A

Please mention the name of participant, followed by THIRD DESIGN DAY


Credit Card Details:
Credit Card number:
Expiry Date

VISA
American Express
Master Card
Diners

If you agree with this form please proceed
 
 

uitp - internation union of public transport