Antwerpen Something Totally Random
Education and culture Socrates European union

With the support of the Socrates Programme of the European Union

Registration

Please fill out the form below.

Title:  
Profile:  
First Name:  
Last Name:  
Organization:  
Job title:  
Street:  
number:  
City:  
Postal code:  
State/Country:  
Your Email:
Re-enter Email:  
Phone:  
 
Register for the symposium on 17/2:
(Play on 16/2 is included)
 
Register for the presymposium workshop on 16/2: (info)
Register for the Play:
(only tick this box if you are not attending the symposium)
 
Lunch (€ 20):
My name may be included on the participant list (accessible to all other participants):
 
Payment:  
My VAT number (optional, for inclusion on the invoice):
My reference (optional, for inclusion on the invoice):
My billing address is the same as my home address: