REGISTRATION FORM

at the 9th EUROFOODWATER Conference on Water in Food to be held at KU, Leuven

from 22 to 24 May 2016

Ms/Mr/Dr/Prof. : … ……………………………………………………………………….

Affiliation: ………………………………………………………………………….…………

Position: ......

Address: ………………………………………………………………………………………

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Tel: ………………………………Fax: ………………………………………….…

Email: ……………………………………………………………………………..…

- wishes to participate: ......
- to give an oral presentation: ……………

- a poster presentation: ......

Participation Fees

category / Fees / Number / Total
Industrial / 450 EUR
Academic / 300 EUR
Student & retired academic / 150 EUR
Accompanying person / 100 EUR
Exhibitor booth / 600 EUR
Conference dinner / 60 EUR

Registration valid only after payment of fees

Late registration (after April 26th, 2016) + 50 EUR

Bank REFERENCES: (payment by bank transfer)

IBAN: BE84 0017 7324 3559

Bank Identifier Code (BIC): GEBABEBB

Bank references: BNP Paribas Fortis, Warandeberg 3, 1000 Brussels (Belgium)

Account holder: Christa Jordens

Form to return duly filled after payment by bank transfer (bank references above) by mail to:


And:
Mevr. Christa JORDENS
Department of Microbial and Molecular Systems (M²S)
Laboratory of Food Chemistry & Biochemistry
Kasteelpark Arenberg 20 box 2463
3001 Heverlee, Belgium
Tel. +32 16 321634
Fax. +32 16 321997
E-mail: