eLex 2017 — with bank transfer

Billing address
An invoice will be provided after we receive your payment. It will be included in the conference bag. The invoice will be issued in your name and the billing details that you provide below. Please use the Notes field (at the very end of the registration form) if you have any other requirements on the invoice (e.g. if you need to quote a particular purchase order number).
Organization *
organization/institution name as it should appear on the invoice
Address *

Street Address

Street Address Line 2 (optional)

City

Postal / Zip Code Country
VAT number
only for EU countries minus Netherlands

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eLex 2017 — Registration form