Go Further!
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APPLICATION FORM
For registration, please fill in the application form and send it to Lapia International. Send purchase order to hereunder mentioned address
Program: |
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Date: Fee: Euro |
| Name: |
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Initials: |
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| First name: |
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Birth date: |
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| Nationality: |
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Gender: |
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| Product Division: | Address: | ||
| BU/BG: | Phone number: | ||
| National Org: | Fax number: | ||
| Department: | E-mail: | ||
| Function: | Prev. training: |
| Manager: |
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Training/ Personell Manager: |
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| Phone number: |
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Phone number: |
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| Fax number: |
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Fax number: |
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| E-mail: |
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E-mail: |
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Signature:
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Signature:
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Invoice to (address/department): |
Department (Dutch )/Funloc number:
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Unless a suitable replacement candidate attends, cancellations within 8 weeks before the program starts are subject to 50%, 4 weeks before start 100%, cancellation fee. Payment within 4 weeks of invoice date.
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Lapia International B.V. Atn. Ms. M. Keizer Vijverlaan 2A 3737 RH Groenekan The Netherlands |
Phone: +31 (0)346 - 214998 Fax: +31 (0)346 - 214828 E-mail: lapia@lapia-int.com |
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© Copyright Lapia International bv, 2007 |