Please print, complete and return this form by fax to

09/241.56.56

Faxback Registration Form

Company Information

Company Name ......................................................

Address ......................................................

ZIP code + City ......................................................

Country ......................................................

VAT number
......................................................

Purchase Order ....................................... (optional)

Invoice address is [ ... ] the same, or:

Address ......................................................

ZIP code + City ......................................................

Country ......................................................

This registration was made by:

Name [ ... ] Mr. [ ... ] Mrs. ...................................................... Job title .....................................

Email ...................................................... Phone .....................................

Fax .....................................

Participant(s)

Seminars

Registrant agrees with the seminar conditions and registers the above participant(s) for the seminar(s):

  [ ] Cloud Strategie en Architectuur, 28 May, 10-18u, (Golden Tulip Brussels Airport) - Nederlands
  [ ] Business Innovation, Transformation and IT Leadership, 30 May, 14-21h, (Golden Tulip Brussels Airport) - English
  [ ] Advanced Case Management in de Praktijk, 6 June, 14-18u30, (Golden Tulip Brussels Airport) - Nederlands
  [ ] Big Data, NoSQL en Analytics, 20 June, 14-18u30, (Golden Tulip Brussels Airport) - Nederlands
  [ ] ArchiMate 2.0 Certification Course , 3-4 July, 10-18h, (Golden Tulip Brussels Airport) - English
  [ ] Belgian ArchiMate Users Meeting, 4 July, 18-20h, (Golden Tulip Brussels Airport) - English
  [ ] Mastering the Requirements Process (Workshop), 24-26 September, 10-18, (Golden Tulip Brussels Airport) - English
  [ ] Kennismanagement in een Microsoft omgeving, 26 September, 14-21u, (Golden Tulip Brussels Airport) - Nederlands
  [ ] Mastering Business Analysis, 10-11 October, 10-18h, (Golden Tulip Brussels Airport) - English
  [ ] Mastering the Requirements Process II (Advanced Workshop), 10-11 October, 10-18, (Golden Tulip Brussels Airport) - English
  [ ] Datavirtualisatie voor Agile Business Intelligence, 24 October, 14-21u, (Golden Tulip Brussels Airport) - Nederlands
  [ ] Operational en Real-Time Business Intelligence, 14 November, 14-18u30, (Golden Tulip Brussels Airport) - Nederlands

Payment

[ ... ] Payment upon receipt of invoice

Signature ......................................................................... Date .................................................................

Your data will be recorded in the database of I.T. Works bvba, Technologiepark 3, 9052 Gent, so that we can keep you informed about our activities. In accordance with the law of 8/12/1992 on the protection of privacy, you can inspect and, if necessary, correct this data.
Uw gegevens worden in een bestand opgenomen door I.T. Works bvba, Technologiepark 3, 9052 Gent, zodat wij u op de hoogte kunnen houden van onze aktiviteiten. Overeenkomstig de wet van 8/12/1992, heeft u recht op inzage, correctie of schrapping ervan.

I.T. Works, Technologiepark 3, 9052 Gent (Belgium), Phone: (09) 241.56.13 - Fax: (09) 241.56.56 - E-Mail: seminars@itworks.be - URL: http://www.itworks.be/