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Registration Form

First European network conference on reducing youth drinking by law enforcement
27-10-2011- Rotterdam, The Netherlands

Name:
Title:
Function:
Gender:	man woman
Organisation:
Adress:
Postal code/ city:
Country:
Telephone:
E-mail:
Preference parallel sessions.
Please make your choice:	Law enforcement policy and research (session 1) Law enforcement practices (session 2)
Conformation registration	Hereby I subscribe to the conference on law enforcement 27-10-2011
The conference fee is €200,-. (Including lunch and refreshments during the breaks 27-10-2011). You may request a refund of your registration on or before Saterday, Oktober 11, 2011, less a €50,- processing fee (to cover credit card transaction charges and administrative costs). From oktober 11 till oktober 23 we charge a €100,- processing fee. After oktober 23, you may substitute participants, but would be ineligible for refund.


Extra Program 27-10-2011 (night) and 28-10-2011
The fee for the Extra Program is €150 (including drinks and lunch 28-10-2011).
Conformation registration extra program

Extra program	Hereby I subscribe for the extra program

Financial department concerning invoice payment (only fill in if the adress is different from above)

Adress:
Postak code/ city/ country:
E-mail:
Department:
To the attention of:
Payment reference:

THEMA'S

Nederlands Instituut voor Alcoholbeleid (STAP)
Postbus 9769
3506 GT Utrecht
T: +31 (0)30-6565041
F: +31 (0)30-6565043
E: info@stap.nl