* (excl. VAT)
I wish to pay by bank transfer.
C.E.L.forpharma bvba c/o Fortis Bank, Warandeberg 3 –
1000 Brussels
Account Nr. 001-4464979-48
IBAN: BE 11 0014 4649 7948 - BIC/SWIFT: GEBABEBB
On the bank transfer slip, please include the
delegate name and the event code
I wish to pay by credit card (Amex, Master Card or Visa; a 3% surcharge will be applied)
Confirmation
of Receipt of Payment is required before the
start of the event |