Registration for by:Larm 2011

This is the delegate registration form for by:Larm in Oslo on the 18th, 19th and 20th of February 2010. Fill out the required fields below and submit your registration. Delegates have full access to all our events and activities. The registration fee depends on when you register. Early registration assures lowest fee.

230€ until February 1st.

Registration

First name

Surname

Position

Name of company

Workfield

Please specify workfield

Address (for invoice)

City

Zip code

Country

Telephone

Fax

Mobile phone

Do not publish my email address

Web site

Were you asked to enter a code at registration? If yes, please do so here:

Registration code

The invoice will be sent to you by e-mail. Tick this box if you need it by regular mail:

Send invoice by mail