Universiteit Antwerpen
21/05/2013 - 12:56
(c)
http://www.ua.ac.be/main.aspx?c=*PIETERGIL&n=103652
Registration Form Conference 'Radical Secularization'
 

    
Name * 
First name * 
E-mail *   
Address (street + number)
Postal  code or ZIP code
Town
Country * 
Institution * 
Phone number/mobile phone

Graduate or undergraduate student at a Belgian university (free of charge)


Will attend to the conference on the following days:
and will pay €

Please note that registration becomes only official after receipt of payment on this account number: IBAN BE98 7350 2990 5993 BIC KREDBEBB Please mention this reference: SC201158

Addressee:
Universiteit Antwerpen
Prinsstraat 13
2000 Antwerpen
Belgium

 
Inhoudsverantwoordelijke(n) : nina vleugels